Individual
BRADLEY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1510 RIBAUT RD, PORT ROYAL, SC 29935-1403
(843) 524-3241
(843) 322-3240
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
(843) 524-3241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
08945R
LA
225100000X
Physical Therapist
Primary
8479
SC
Other
Enumeration date
08/28/2014
Last updated
11/03/2024
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