Individual
BRADLEY ETHAN ROBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1850 11TH ST, FENNIMORE, WI 53809-1612
(608) 822-6100
Mailing address
1008 W SPRUCE ST, CHIPPEWA FALLS, WI 54729-1748
(715) 720-7646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2835-026
WI
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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