Individual
BRADLEY RICHARD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS. OTR/L
Contact information
Practice address
609 ARBOR CT, HIGHLAND VILLAGE, TX 75077-7569
(928) 304-2223
Mailing address
609 ARBOR CT, HIGHLAND VILLAGE, TX 75077-7569
(928) 304-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115435
TX
Other
Enumeration date
08/04/2008
Last updated
12/30/2014
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