Individual
BRADLEY DAVID SEUNTJENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4204 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 280-9205
(912) 280-0022
Mailing address
PO BOX 949, ROME, GA 30162-0949
(912) 280-9205
(912) 280-0022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014946
GA
Other
Enumeration date
07/20/2020
Last updated
09/11/2020
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