Jennifer Elaine Bradberry, ATC

NPI #1104964568 in Duluth, Georgia

Provider Information

NPI Number: 1104964568
Entity Type: Individual
Name: Jennifer Elaine Bradberry, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: ATC
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6340 SUGARLOAF PKWY
Address 2: SUITE 375
City: Duluth
State: Georgia
ZIP Code: 30097-4333
Phone: (770) 814-2223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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