Dr BRADFORD J BROUILLETTE is a male medical professional, specializing in Physical Therapy. He graduated in 1999.
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
1111 S 2ND AVE
WALLA WALL
WA
993624118
Tel: 5098975174
| Npi | 1861589350 |
| Pac Id | 0042218828 |
| Professional Enrollment Id | I20061110000404 |
| Last Name | BROUILLETTE |
| First Name | BRADFORD |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICAL THERAPY |
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| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - WASHINGTON |
| Group Practice Pac Id | 2860552973 |
| Number Of Group Practice Members | 146 |
| Line 1 Street Address | 1111 S 2ND AVE |
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| City | WALLA WALL |
| State | WA |
| Zip Code | 993624118 |
| Phone Number | 5098975174 |
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| Professional Accepts Medicare Assignment | Y |
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