Individual
JAMES BRADSHER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
241 CANTERBURY TRL, WINSTON SALEM, NC 27104-3007
(336) 768-7469
Mailing address
241 CANTERBURY TRL, WINSTON SALEM, NC 27104-3007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0940
NC
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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