Search › Arkansas › 225100000X
Bradley Vandivere, DPT
NPI 1275365520 · on the registry since 2024
Practice
- Address
- 1210 N Rock St
Sheridan, AR 72150 - Phone
- (870) 942-0760
- Fax
- (870) 942-0783
- Organisation at this address
- Pro Active Rehab, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas