Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY EARNEST, PT
Active Sole ProprietorBRADLEY EARNEST, PT is a Environmental Modification (OT) healthcare provider located in CANTON, Georgia. NPI 1710754767 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · CANTON, GA
Registration Details
- NPI Number
- 1710754767
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2023 (2.684460890094 yrs)
- Last Updated
- Dec 11, 2023
- License
-
PT015872 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
330 RONNELL RD BLDG 300CANTON, GA, 301158636Browse GA providers · Browse ZIP 30115
- Phone
- 4043080817
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.