Organization Name: | BRADLEY PHYSICAL THERAPY |
NPI Number: | 1821221391 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE MARIE BISGROVE (BUSINESS ADMINISTRATOR) |
Mailing Address: | 2003 Robin Lane Wausau |
State: | WI US |
Postal Code: | 544017158 |
Phone Number: | 7158453775 |
Fax Number: | 7158489015 |
NPI Enumeration Date: | 08/31/2009 |
NPI Last Update Date: | 04/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2469-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |