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1417151325
BRADLEY ALLEN MOORE
KNOXVILLE, TN
NPI
1417151325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN PT0000005848)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
Mr. BRADLEY ALLEN MOORE PT, MS
9000 EXECUTIVE PARK DR SUITE A-205
KNOXVILLE, TN 37923-4685
Phone number: 865-539-0242
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Mailing Address
Mr. BRADLEY ALLEN MOORE PT, MS
790 N CEDAR BLUFF RD APT 2705
KNOXVILLE, TN 37923-2267
Phone number: 865-539-0242
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