Ilk, Bradley Thomas

Ilk, Bradley Thomas is an individual health care provider with primary practice located at 2626 N 76Th St Ste 105 , Wauwatosa WI 53213-1137. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ilk, Bradley Thomas can be contacted via phone (414) 774-7794.

Contact Information

Primary practice address
2626 N 76Th St Ste 105 Wauwatosa WI 53213-1137
Phone: (414) 774-7794
Fax: (414) 607-3971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2740-19 Wisconsin

Profile Details

NPI number 1124507165
LBN Legal business name Ilk, Bradley Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2018
Last updated Aug 10th, 2018 - about 7 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.

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