Individual
MS. DEBRA PASMORE BRADSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
90 CLARK BLVD, TUPELO, MS 38804-2801
(662) 840-0535
Mailing address
466 COUNTY ROAD 1740, TUPELO, MS 38804-7129
(870) 243-2695
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1841
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y992
ARKANSAS BLUE CROSS BLUE
AR
Enumeration date
02/06/2007
Last updated
08/31/2021
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