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Search › Georgia › 225200000X

Bradford Kennebrew, PTA

NPI 1811623242 · on the registry since 2022

Practice

Address
1227 Rockbridge Rd Ste 402
Stone Mountain, GA 30087
Phone
(770) 925-9210
Organisation at this address
Medi-Cure
The Kroger Co
Patron Place Llc
Tlc Of Georgia Llc
Smart Transportation Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia