Individual
MR. BRAD CHARLES ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1296 N CHESTER AVE, PASADENA, CA 91104-2947
(626) 676-6558
(626) 389-8748
Mailing address
1443 E WASHINGTON BLVD, NO. 806, PASADENA, CA 91104-2650
(626) 676-6558
(626) 389-8748
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
OT 4438
CA
225XE1200X
Ergonomics Occupational Therapist
OT 4438
CA
225XL0004X
Low Vision Occupational Therapist
OT 4438
CA
225XN1300X
Neurorehabilitation Occupational Therapist
OT 4438
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT 4438
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT 4438
CA
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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