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Individual
MARION DIELLE BRADFORD
Active
Individual
MARION DIELLE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
215190
TX
225X00000X
Occupational Therapist
Primary
123072
TX
225XP0200X
Pediatric Occupational Therapist
123072
—
Other
Enumeration date
05/01/2019
Last updated
09/26/2023
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