Individual
BRADLEY SPRINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1107 MABBETTE ST, KISSIMMEE, FL 34741-5161
(407) 201-8079
Mailing address
1107 MABBETTE ST, KISSIMMEE, FL 34741-5161
(407) 201-8079
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19351
FL
Other
Enumeration date
02/29/2024
Last updated
03/01/2024
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