Individual
TANIA J BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1450 DARES BEACH RD, PRINCE FREDERICK, MD 20678-4206
(443) 624-2610
Mailing address
1305 DARES BEACH RD, PRINCE FREDERICK, MD 20678-4208
(443) 624-2610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07391
MD
Other
Enumeration date
12/18/2018
Last updated
09/13/2022
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