Individual
MR. BRADLEY CARSON PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPED
Contact information
Practice address
95 AVIEMORE DR, PINEHURST, NC 28374-9797
(910) 295-4489
(910) 215-8035
Mailing address
95 AVIEMORE DR, PINEHURST, NC 28374-9797
(910) 295-4489
(910) 215-8035
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
CPED3405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700636
—
NC
Enumeration date
08/05/2010
Last updated
08/05/2010
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