Individual
MR. GREGORY MAURICE BRADLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT, MMP
Contact information
Practice address
16501 NORTHCROSS DR STE D, HUNTERSVILLE, NC 28078-5040
(980) 222-4787
Mailing address
7541 PILOT COVE CT, DENVER, NC 28037-9450
(704) 578-7365
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
20138
NC
225700000X
Massage Therapist
Primary
20138
NC
Other
Enumeration date
08/29/2009
Last updated
11/21/2024
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