Individual
MRS. KRISTIN NEELY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
716 SIPES ST, KINGS MOUNTAIN, NC 28086-2716
(704) 739-8132
Mailing address
4376 STONE MOUNTAIN DR, GASTONIA, NC 28054-0007
(704) 824-1791
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5067
NC
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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