Doctor Name: | BRADLEY JAMES VEAL |
NPI Number: | 1316233026 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 1207101 |
Business Practice Address: | 1007 College Ave Levelland, TX - 793365601 |
Business Phone Number: | 8068970540 |
Business Fax Number: | 8068970542 |
Mailing Address: | 6516 87th St, LUBBOCK |
State: | TX |
Postal Code: | 794244795 |
Phone Number: | 8062398925 |
Fax Number: | 8068970542 |
NPI Enumeration Date: | 06/21/2011 |
NPI Last Update Date: | 06/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 1207101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |