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Contact Information

BRADFORD J BROUILLETTE, PT
410 W POPLAR ST.
REHABILITATION SERVICES
WALLA WALLA, WA99362
 Phone: 509-897-3320
 Fax: 509-897-5752
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BRADFORD J BROUILLETTE · (Male)

NPI Number 1861589350
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 10/06/2006
Last updated 01/11/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PT00008159
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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