Individual
ELIZABETH JANE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 453-0202
Mailing address
1430 WILMAR AVE, MERRITT ISLAND, FL 32952-5750
(304) 517-5767
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA13624
FLDOH OTA LICENSE
FL
Enumeration date
03/27/2018
Last updated
03/27/2018
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