MR. Brad Adam Moltrup, P.T. M.S.

NPI #1871765370 in Canton, Illinois

Provider Information

NPI Number: 1871765370
Entity Type: Individual
Name: MR. Brad Adam Moltrup, P.T. M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T. M.S.
Enumeration Date: Mar 25, 2008
Last Updated: Mar 25, 2008

Practice Location

Address: 2081 N MAIN ST
City: Canton
State: Illinois
ZIP Code: 61520-1032
Phone: (309) 647-6135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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