Individual
DENISE BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 E SOUTHWAY BLVD, KOKOMO, IN 46902-3698
(765) 236-8795
Mailing address
217 E SOUTHWAY BLVD, KOKOMO, IN 46902-3698
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004168A
IN
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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