Cordero, Bradley S

Cordero, Bradley S is an individual health care provider with primary practice located at 393 E 2Nd N , Rexburg ID 83440-1605. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cordero, Bradley S can be contacted via phone (208) 359-9570.

Contact Information

Primary practice address
393 E 2Nd N Rexburg ID 83440-1605
Phone: (208) 359-9570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-2897 Idaho

Profile Details

NPI number 1932494002
LBN Legal business name Cordero, Bradley S
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Jun 16th, 2011 - about 13 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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