Individual
MS. AMANDA L BRADBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12259 CHISELED STONE DR, FISHERS, IN 46037-4290
(317) 670-1087
(317) 579-0894
Mailing address
12259 CHISELED STONE DR, FISHERS, IN 46037-4290
(317) 670-1087
(317) 579-0894
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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