BRADFORD CHANDLER BAISDEN PT
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1659305092- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PT
- Status
- Active
Contact & Location
- Address
- 823 PARK EAST BLVD STE B, LAFAYETTE, IN, 479050811
- Phone
- (765) 297-0975
- Fax
- (765) 297-0974
Specialties & Taxonomies
Specialist
License: NC #10165
Physical Therapist
Primary License: IN #05011714A