Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD ROY BRADDOCK, PT
ActiveMR. EDWARD ROY BRADDOCK, PT is a Physical Therapy Assistant healthcare provider located in BEAVER FALLS, Pennsylvania. NPI 1497707228 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BEAVER FALLS, PA
Registration Details
- NPI Number
- 1497707228
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.224305362076 yrs)
- Last Updated
- Dec 7, 2017
- Licenses
-
PT006762L (PA)PT010934 (OH)
Practice Information
- Address
-
124 LOUGHRIDGE DRBEAVER FALLS, PA, 150101422Browse PA providers · Browse ZIP 15010
- Phone
- 7248465887
- Fax
- 7248439276
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BEAVER FALLS, PA
| Name | Credential | NPI |
|---|---|---|
| EDWARD GRISNIK | PT | 1306800495 |
| AMANDA LYNN GRATER | PT | 1245273234 |
| ANTOINE D JORDAN | P.T. | 1255524443 |
| MRS. LISA MARIE RYAN | PT | 1083807705 |
| MRS. KRISTINA MARIE DELISIO | P.T. | 1801080155 |
| MICHAEL WILLIAM KOPACKO | — | 1013220466 |
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.