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Individual

JILLIAN BRADLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
174 CLAY FARM RD, BECKLEY, WV 25801-4545
(304) 573-0709
Mailing address
174 CLAY FARM RD, BECKLEY, WV 25801-4545
(304) 573-0709

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1744
WV

Other

Enumeration date
05/29/2014
Last updated
05/29/2014
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