BRADLY DALE STEVENS

SOMERSET, KY
NPI1295496131
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A04021)
Enumeration Date2022-01-03
Last Update Date2022-01-03
Business Address
BRADLY DALE STEVENS
112 OAKDALE DR
SOMERSET, KY 42503-9680
Phone number: 606-477-0482
Mailing Address
BRADLY DALE STEVENS
112 OAKDALE DR
SOMERSET, KY 42503-9680
Phone number: 606-477-0482
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