| Doctor Name: | LEON F. BRADWAY |
| NPI Number: | 1932179306 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICIAL THERAPIST |
| License Number: | 070-006327 |
| Business Practice Address: | 2705 Osler Blvd 2011 E. Villa Maria Rd #a Bryan, TX - 778022518 |
| Business Phone Number: | 9797762225 |
| Business Fax Number: | |
| Mailing Address: | 4006 Sunny Meadow Brook Ct, COLLEGE STATION |
| State: | TX |
| Postal Code: | 77845 |
| Phone Number: | 4102717971 |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2006 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070-006327 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |