Individual
MRS. GREER VERSON BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1260 N DUTTON AVE STE 150, SANTA ROSA, CA 95401-4680
(707) 545-7114
(707) 253-1182
Mailing address
1529 CREEKSIDE DR, PETALUMA, CA 94954-3501
(707) 849-9657
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13448
CA
Other
Enumeration date
05/16/2007
Last updated
01/11/2022
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