Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist |
NPI | 1003291394 |
---|---|
Provider Name | Bradley Day |
First Address | Scottsdale, AZ 85261-4570 |
Second Address | Avondale, AZ 85392-5636 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2015 |
Last Update Date | 28/07/2015 |