Individual
JOE WILSON BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3854 BALL ALLEY CREEK RD, VALDESE, NC 28690-8886
(828) 446-0586
(828) 433-6672
Mailing address
3854 BALL ALLEY CREEK RD, VALDESE, NC 28690-8886
(828) 446-0586
(828) 433-6672
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2766
NC
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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