BRADLEY SHANE EDWARDS

WILSON, NC
NPI1043853351
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  12312)
Enumeration Date2019-10-21
Last Update Date2019-10-21
Business Address
BRADLEY SHANE EDWARDS COTA
3501 SENIOR VILLAGE LN NW
WILSON, NC 27896-9618
Phone number: 252-243-3186
Mailing Address
BRADLEY SHANE EDWARDS COTA
378 SANDHILL DR
GOLDSBORO, NC 27530-0906
Phone number: 252-299-0917
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