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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRADLEY VANDIVERE, DPT

Active

BRADLEY VANDIVERE, DPT is a Physical Therapy Assistant healthcare provider located in SHERIDAN, Arkansas. NPI 1275365520 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SHERIDAN, AR

Registration Details

NPI Number
1275365520
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2024 (1.854385071891 yrs)
Last Updated
Aug 15, 2024
License
5546 (AR)

Practice Information

Address
1210 N ROCK ST
SHERIDAN, AR, 721507761
Browse AR providers · Browse ZIP 72150
Phone
8709420760
Fax
8709420783
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SHERIDAN, AR

Name Credential NPI
MRS. CHESSICA PORTERFIELD PT 1083066856
ANDREW DAVIS 1073288510
ASHTON PAIGE HILL 1235915869
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.