Charles Bradshaw, PTA

NPI #1881123321 in Celina, Ohio

Provider Information

NPI Number: 1881123321
Entity Type: Individual
Name: Charles Bradshaw, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PTA
Enumeration Date: Jun 8, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 118 JOHNSON AVE
City: Celina
State: Ohio
ZIP Code: 45822-1219
Phone: (419) 953-5367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapy Assistant	225200000X

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