Doctor Name: | LUCAS T BRADLEY |
NPI Number: | 1609206812 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, ATC |
License Number: | DAPT002041 |
Business Practice Address: | 1300 Philadelphia Ave Suite 2 Northern Cambria, PA - 157141166 |
Business Phone Number: | 8149488220 |
Business Fax Number: | 8149488223 |
Mailing Address: | 1407 Eisenhower Blvd, Suite 104 JOHNSTOWN |
State: | PA |
Postal Code: | 159043262 |
Phone Number: | 8142691494 |
Fax Number: | 8142668572 |
NPI Enumeration Date: | 11/25/2013 |
NPI Last Update Date: | 11/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | DAPT002041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |