Basic Information
| Provider Information | |||||||||
| NPI: | 1275571812 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SENSKA | ||||||||
| FirstName: | BRADLEY | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 5924 | ||||||||
| Address2: | STE. 10 | ||||||||
| City: | CAREFREE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853774407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4804889095 | ||||||||
| FaxNumber: | 4804882862 | ||||||||
| Practice Location | |||||||||
| Address1: | 7208 E. CAVE CREEK ROAD, | ||||||||
| Address2: | SUITE H | ||||||||
| City: | CAREFREE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85377 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4804889095 | ||||||||
| FaxNumber: | 4804882862 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2006 | ||||||||
| LastUpdateDate: | 06/29/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 5547 | AZ | Y | Other Service Providers | Specialist |
No ID Information.