Individual
BRADI BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14975 BALLENTINE RD, SARDIS, MS 38666-5428
(662) 934-6110
Mailing address
14975 BALLENTINE RD, SARDIS, MS 38666-5428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1311707
TX
225100000X
Physical Therapist
PT4547
AR
225100000X
Physical Therapist
PT60889661
WA
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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