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Bradley Lawrence Conder, PT, DPT, OCS

Physical Therapist in Louisville, KY. Individual provider (NPI-1).

NPI number1679516637
StatusActive
Last updated in NPPESJan 8, 2025

Details

NPI
1679516637
Entity type
Individual (NPI-1)
Name
Bradley Lawrence Conder
Credential
PT, DPT, OCS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 14, 2006
Certification date
Jan 8, 2025
Last updated
Jan 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist004698KYYes

Practice location

11700 Commonwealth Dr Ste 601
Louisville, KY 40299-6303

Phone 502-509-3136 · Fax 502-509-3136

Mailing address

716 Malone Pl
Louisville, KY 40245-4132

Phone 502-509-3136

Other practice locations

1860 Mellwood Ave Ste 267
Louisville, KY 40206-1033

Phone 502-509-3136

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