Individual
MR. BRAD THOMAS WESTBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 WILSON LOOP, WARD, AR 72176
(501) 941-5630
Mailing address
105 LORENE ST, AUSTIN, AR 72007-9146
(501) 941-5005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1175
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W794
BLUE CROSS BLUE SHEILD
AR
Enumeration date
01/29/2007
Last updated
07/08/2007
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