Individual
DAVIS BURR BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6842 CARNEGIE BLVD # 205, CHARLOTTE, NC 28211-3547
(704) 803-8038
(704) 810-4711
Mailing address
6618 CASTLEGATE DR, CHARLOTTE, NC 28226-7625
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
7041
SC
225100000X
Physical Therapist
Primary
P21903
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH2864
—
SC
Enumeration date
06/03/2013
Last updated
02/21/2024
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