Individual
LASHANDA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10626 VORHOF DR, SAINT LOUIS, MO 63136-5730
(314) 874-5895
Mailing address
10626 VORHOF DR, SAINT LOUIS, MO 63136-5730
(314) 874-5895
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013017894
MO
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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