Individual
BRADLEY JAMES DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
61 WHITCHER ST NE, SUITE 1100, MARIETTA, GA 30060-1176
(770) 422-3290
(770) 422-0287
Mailing address
61 WHITCHER ST NE, SUITE 1100, MARIETTA, GA 30060-1176
(770) 422-3290
(770) 422-0287
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8324
GA
Other
Enumeration date
05/04/2006
Last updated
04/04/2011
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