Bradley, David
Bradley, David is an individual health care provider with primary practice located at 19732 Macarthur Blvd Suite 125, Irvine CA 92612-2419. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bradley, David can be contacted via phone (949) 644-2022.Contact Information
Primary practice address
19732 Macarthur Blvd Suite 125
Irvine CA 92612-2419
Phone: (949) 644-2022
Fax: (949) 644-1914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | MPT18575 | California |
Profile Details
| NPI number | 1871645192 |
|---|---|
| LBN Legal business name | Bradley, David |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Apr 26th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871645192 | NPPES |
| California | Other | DF9194 | RAILROAD MEDICARE |
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