Most Relevant Information
Provider Data
| NPI Number: | 1003222068 |
| Provider Name: | BRADLEY LEAFBLAD PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 6430 |
Most Important Dates
| Enumeration Date: | 07/10/2014 |
| Last Updated: | 07/10/2014 |
Provider Practice Location
1000 RADIO DR
# 120
WOODBURY
MN
551258409
Practice Location Phone/Fax
| Phone: | 6517356100 |
| Fax: | 6517356106 |
Provider Mailing Location
1000 RADIO DR
#120
WOODBURY
MN
551258409
Provider Mailing Phone/Fax
| Phone: | 6517356100 |
| Fax: |