Individual
MISS EMILY JANE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2121 ABBY LN, JOPLIN, MO 64804-5155
(417) 850-1954
Mailing address
2121 ABBY LN, JOPLIN, MO 64804-5155
(417) 850-1954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010025
IL
225X00000X
Occupational Therapist
116464
TX
Other
Enumeration date
11/25/2014
Last updated
03/20/2017
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