Individual
PERIN TERESA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1917 BURDETTE ST, NEW ORLEANS, LA 70118-4232
(415) 205-6395
Mailing address
1917 BURDETTE ST, NEW ORLEANS, LA 70118-4232
(415) 205-6395
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
LA9627
LA
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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