Individual
MRS. ELLEN BRADFORD JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
142 BERMUDA VILLAGE DR, ADVANCE, NC 27006-7867
(336) 998-6702
Mailing address
681 HOWARDTOWN CIR, MOCKSVILLE, NC 27028-7705
(336) 998-5805
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3148
NC
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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