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Bradley Livingston, PT

Physical Therapist in Fort Myers, FL. Individual provider (NPI-1).

NPI number1649542002
StatusActive
Last updated in NPPESFeb 1, 2012

Details

NPI
1649542002
Entity type
Individual (NPI-1)
Name
Bradley Livingston
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Feb 1, 2012
Last updated
Feb 1, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT19423FLYes

Practice location

8380 Riverwalk Park Blvd
Suite 320
Fort Myers, FL 33919-8758

Phone 239-437-1121

Mailing address

8380 Riverwalk Park Blvd
Suite 320
Fort Myers, FL 33919-8758

Phone 239-437-1121

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