MR. Tyson Bradley, PTA

NPI #1760714364 in Marion, Illinois

Provider Information

NPI Number
1760714364
Entity Type
Individual
Name
MR. Tyson Bradley, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Feb 5, 2010
Last Updated
Feb 5, 2010

Practice Location

Address
2907 WILLIAMSON COUNTY PKWY
City
Marion
ZIP Code
62959-5256
Phone
(618) 998-9894

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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