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BRADLEY L FERGUSON MPT

Individual Provider (NPI-1) Active

Physical Therapist

Provider Information

NPI Number
1386639763
Provider Type
Individual Provider (NPI-1)
Credentials
MPT
Status
Active

Contact & Location

Address
1102 W SPRUCE ST, RAWLINS, WY, 823015335
Phone
(307) 370-9175
Fax
(307) 370-9177

Specialties & Taxonomies

Physical Therapist License: WI #9632024
Physical Therapist, Orthopedic License: WY #PT-1763
Physical Therapist Primary License: WY #1763

All Addresses

LOCATION

1102 W SPRUCE ST

RAWLINS, WY, 823015335

(307) 370-9175

MAILING

2002 W SUNSET DR

RIVERTON, WY, 825012283

(073) 709-1753