Individual
BRADLEY LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10992 HIGHWAY 51 S, SUITE 100, ATOKA, TN 38004-4944
(901) 837-1711
Mailing address
225 LAKE POINT CV, ROSSVILLE, TN 38066-3500
(731) 217-7391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8456
TN
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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