Deck, Bradley Jay
Deck, Bradley Jay is an individual health care provider with primary practice located at 2978 Centreville Rd , Herndon VA 20171-6253. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Deck, Bradley Jay can be contacted via phone (703) 934-5000.Contact Information
Primary practice address
2978 Centreville Rd
Herndon VA 20171-6253
Phone: (703) 934-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 0119-008157 | Virginia |
Profile Details
NPI number | 1255983516 |
---|---|
LBN Legal business name | Deck, Bradley Jay |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2019 |
Last updated | Jul 16th, 2019 - about 6 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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