BRADFORD JAMAL KENNEBREW PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1811623242- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 1227 ROCKBRIDGE RD STE 402, STONE MOUNTAIN, GA, 300873006
- Phone
- (770) 925-9210
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: GA #PTA003995