Individual
MRS. SUSAN JEAN BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
625 NE RUSHBROOK DR, LEES SUMMIT, MO 64064-1647
(816) 668-8890
(816) 373-2547
Mailing address
625 NE RUSHBROOK DR, LEES SUMMIT, MO 64064-1647
(816) 668-8890
(816) 373-2547
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
000077
MO
Other
Enumeration date
04/15/2009
Last updated
02/24/2012
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