BRADLEY EARNEST

CANTON, GA
NPI1710754767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2251S0007X Physical Therapist Sports
(Licence: GA  PT015872)
Enumeration Date2023-12-11
Last Update Date2023-12-11
Business Address
BRADLEY EARNEST PT
330 RONNELL RD BLDG 300
CANTON, GA 30115-8636
Phone number: 404-308-0817
Mailing Address
BRADLEY EARNEST PT
1773 VISTA TRCE
DECATUR, GA 30033-1143
Phone number: 404-308-0817
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