Individual
CAROLINNE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3145 W CLARK RD STE 106, YPSILANTI, MI 48197-1197
(734) 712-0142
Mailing address
3075 W CLARK RD STE 200, YPSILANTI, MI 48197-1103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201012888
MI
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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