Individual
BRAD DOVERSPIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
507 W NEWTON ST, 2ND FLOOR, GREENSBURG, PA 15601-2819
(724) 853-1910
Mailing address
1119 STATE ROUTE 1035, KITTANNING, PA 16201-5963
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC004211L
PA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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