Individual
JILL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2244 ASHLEY CROSSING DR, CHARLESTON, SC 29414-5700
(434) 222-6301
Mailing address
206 MERRITT ST, SOUTH BOSTON, VA 24592-5020
(434) 222-6301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603186
VA
225200000X
Physical Therapy Assistant
3400
SC
Other
Enumeration date
09/14/2018
Last updated
12/15/2021
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