Mr. Bradley Illescas
Mr. Bradley Illescas is a Physical Therapy Assistant in Silver Spring, Maryland. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
12905 Layhill RdSilver Spring, MD 20906-3329
Phone: (240) 855-4481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X |
|---|
Record details
| NPI number | 1093355497 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 14, 2020 |
| Last updated in NPPES | January 14, 2020 |
| Certification date | January 14, 2020 |
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