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1073077723
DIANE BRADBERRY
PLEASANT HILL, TN
NPI
1073077723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 3294)
Enumeration Date
2019-01-28
Last Update Date
2019-01-28
Business Address
DIANE BRADBERRY LPTA
55 W LAKE RD
PLEASANT HILL, TN 38578-3002
Phone number: 931-248-0291
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Mailing Address
DIANE BRADBERRY LPTA
234 BACKWOODS WAY
CROSSVILLE, TN 38555-6951
Phone number: 931-248-0291
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