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Individual

PATRICK DEWAYNE BRADFORD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
845 S BURLINGTON AVE, LOS ANGELES, CA 90057-4296
(213) 381-5585
Mailing address
1555 VINE ST APT 234S, LOS ANGELES, CA 90028-7375
(909) 236-9777

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
25824
CA

Other

Enumeration date
02/12/2024
Last updated
02/12/2024
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