Individual
LAURA R BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1107 E SILVER SPRINGS BLVD, SUITE 4, OCALA, FL 34470-6758
(352) 840-7119
(352) 840-7119
Mailing address
222 SE WENONA AVE, OCALA, FL 34471-2219
(352) 875-3372
(352) 840-7119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA42290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2816
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/03/2007
Last updated
07/08/2007
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