Individual
ERNESTINE MARIE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1602 S BURNSIDE AVE STE C, GONZALES, LA 70737-4400
(225) 623-1780
Mailing address
445 W 13TH ST, VACHERIE, LA 70090-5223
(225) 623-1780
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
LA7981
LA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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