BRADFORD JAMAL KENNEBREW

STONE MOUNTAIN, GA
NPI1811623242
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA003995)
Enumeration Date2022-07-27
Last Update Date2022-08-29
Business Address
BRADFORD JAMAL KENNEBREW PTA
1227 ROCKBRIDGE RD STE 402
STONE MOUNTAIN, GA 30087-3006
Phone number: 770-925-9210
Mailing Address
BRADFORD JAMAL KENNEBREW PTA
413 OCEAN AVE
COLUMBUS, GA 31907-6067
Phone number: 706-325-3988
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