Individual
MR. BRADLEY JOHN GRAY
Active
Individual
MR. BRADLEY JOHN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTRL, CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT60020246
WA
225XH1200X
Hand Occupational Therapist
Primary
OT60020246
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033397
—
WA
01
—
332019
WA LABOR & INDUSTRIES
WA
Enumeration date
05/09/2007
Last updated
12/22/2021
Update your record
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