Most Relevant Information
Provider Data
| NPI Number: | 1003800327 |
| Provider Name: | BRIAN BRADSHAW MS, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
TOWSON UNIVERSITY DEPT OF ATHLETICS
8000 YORK ROAD
TOWSON
MD
212520001
Practice Location Phone/Fax
| Phone: | 4107045501 |
| Fax: | 4107042727 |
Provider Mailing Location
TOWSON UNIVERSITY DEPT OF ATHLETICS
8000 YORK ROAD
TOWSON
MD
212520001
Provider Mailing Phone/Fax
| Phone: | 4107045501 |
| Fax: | 4107042727 |