Individual
BRADLEY HARRISON PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5930 OLD FRENCH RD, ERIE, PA 16509-3656
(814) 860-7816
Mailing address
9611 NEW RD, NORTH EAST, PA 16428-5721
(814) 897-6687
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE013171
PA
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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