Individual
LORI BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
7550 W VILLAGE CIR, STE. 1, WICHITA, KS 67205-9363
(316) 838-2020
(316) 838-7574
Mailing address
7550 W VILLAGE CIR, STE. 1, WICHITA, KS 67205-9363
(316) 838-2020
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-04693
KS
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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