Bradford, Christina M.

Bradford, Christina M. is an individual health care provider with primary practice located at 2100 W Main St , Russellville AR 72801-2758. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bradford, Christina M. can be contacted via phone (479) 698-2525.

Contact Information

Primary practice address
2100 W Main St Russellville AR 72801-2758
Phone: (479) 698-2525
Fax: (479) 968-2538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2699 Arkansas

Profile Details

NPI number 1316996663
LBN Legal business name Bradford, Christina M.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Aug 24th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316996663 NPPES
Arkansas MEDICAID 152948721
Arkansas Other 445934001
Arkansas Other 662725
Arkansas Other 5X681
Arkansas Other P00081426
Arkansas Other 71085780150

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