Provider Demographics
NPI:1952528820
Name:BRADNER, KARA ANNE (PT)
Entity Type:Individual
Prefix:MISS
First Name:KARA
Middle Name:ANNE
Last Name:BRADNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 BRANDY ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-5126
Mailing Address - Country:US
Mailing Address - Phone:407-766-4001
Mailing Address - Fax:
Practice Address - Street 1:3815 BRANDY ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-5126
Practice Address - Country:US
Practice Address - Phone:407-766-4001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL071392225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist