Individual
LORI NICOLE BRADSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11200 GOVERNOR MANLY WAY STE 305, RALEIGH, NC 27614-7383
(919) 562-9410
(919) 562-2948
Mailing address
11200 GOVERNOR MANLY WAY STE 309, RALEIGH, NC 27614-7375
(919) 562-9410
(919) 562-2948
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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