BRADLEY KEITH CANTRELL

JACKSON, TN
NPI1801239264
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  0000004604)
Enumeration Date2013-04-16
Last Update Date2013-04-16
Business Address
Mr. BRADLEY KEITH CANTRELL PTA
121 PHYSICIANS DR
JACKSON, TN 38305-6011
Phone number: 731-664-5050
Mailing Address
Mr. BRADLEY KEITH CANTRELL PTA
124 BIRD HOUSE LN
SELMER, TN 38375-4108
Phone number:
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