Potash, Bradley

Potash, Bradley is an sole proprietor health care provider with primary practice located at 1000 Corporate Dr Ste 280 , Fort Lauderdale FL 33334-3628. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Potash, Bradley can be contacted via phone (954) 636-2525.

Contact Information

Primary practice address
1000 Corporate Dr Ste 280 Fort Lauderdale FL 33334-3628
Phone: (954) 636-2525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A4088 Maryland

Profile Details

NPI number 1396292124
LBN Legal business name Potash, Bradley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2016
Last updated Sep 14th, 2016 - about 8 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 1396292124 NPPES
Maryland Other W2172 54782 AETNA

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