Individual
MR. BRADLY STEPHEN RODERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
Mailing address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2159
AR
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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