Individual
BRAD TRAVERSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 GRADY RD, ETOWAH, TN 37331-1903
(423) 263-1138
Mailing address
11619 LANESBOROUGH WAY APT 706, FARRAGUT, TN 37934-7815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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