ROGER B BRADSHAW PT

Dr ROGER B BRADSHAW PT is a male medical professional, specializing in Physical Therapy. He graduated in 1990.

Contact

223 WINTERSAGE CIR
UNIT A
TALENT
OR
975409566

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ROGER B BRADSHAW PT Information

Npi 1841235173
Pac Id 4688644818
Professional Enrollment Id I20040727001257
Last Name BRADSHAW
First Name ROGER
Middle Name B
Suffix
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 1990
Primary Specialty PHYSICAL THERAPY
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Organization Legal Name
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Number Of Group Practice Members
Line 1 Street Address 223 WINTERSAGE CIR
Line 2 Street Address UNIT A
Marker Of Address Line 2 Suppression
City TALENT
State OR
Zip Code 975409566
Phone Number
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Hospital Affiliation Ccn 2
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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