Individual
SHIRA BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8076 AVALON ISLAND ST, LAS VEGAS, NV 89139-6189
(702) 497-9554
Mailing address
8076 AVALON ISLAND ST, LAS VEGAS, NV 89139-6189
(702) 497-9554
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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