Individual provider · NPI-1

Bradley Bruce Abrams, PT

Physical Therapist · Saint Louis, MO

NPI number1366458325

StatusActive

Last updated in NPPESNov 1, 2014

Details

NPI: 1366458325
Entity type: Individual (NPI-1)
Name: Mr. Bradley Bruce Abrams
Credential: PT
Sex: Male
Sole proprietor: No
Enumeration date: Jul 31, 2006
Last updated: Nov 1, 2014

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	2005012155	MO	Yes
225100000X	Physical Therapist	070-014647	IL
225100000X	Physical Therapist	PT 006742	OH
225100000X	Physical Therapist	5668088-2401	UT
225100000X	Physical Therapist	PT 16203	FL

Practice location

1310 Papin St
Suite 109
Saint Louis, MO 63103-3132

Phone 314-255-9749 · Fax 314-335-7770

Mailing address

1310 Papin St
Suite 109
Saint Louis, MO 63103-3132

Phone 314-255-9749 · Fax 314-335-7770

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