Individual
MR. BRADLEY ALVIN BICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
315 E BROADWAY ST, CAMPBELLSVILLE, KY 42718-2003
(270) 469-1076
(270) 469-1197
Mailing address
315 E BROADWAY ST, CAMPBELLSVILLE, KY 42718-2003
(270) 469-1076
(270) 469-1197
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1581
KY
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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