Bradley Libby, DPT

NPI #1932533262 in Brewer, Maine

Provider Information

NPI Number: 1932533262
Entity Type: Individual
Name: Bradley Libby, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: DPT
Enumeration Date: Aug 22, 2013
Last Updated: Aug 22, 2013

Practice Location

Address: 797 WILSON ST
City: Brewer
State: Maine
ZIP Code: 04412-1000
Phone: (207) 992-4042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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