Individual
EMILY BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 TECHNOLOGY LN, JOHNSON CITY, TN 37604-2004
(423) 434-2016
Mailing address
120 JOHN HALL RD, WATAUGA, TN 37694-3132
(423) 512-1886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
TN
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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