Individual
MR. BRADLEE JAMES KROEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
9160 E DESERT COVE AVE, SCOTTSDALE, AZ 85260-6244
(800) 967-4667
Mailing address
9160 E DESERT COVE AVE, SCOTTSDALE, AZ 85260-6244
(800) 967-4667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006659
AZ
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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