Individual
MS. ANN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR. OF AUDIOLOGY
Contact information
Practice address
4710 TROY PIKE, DAYTON, OH 45424-5740
(937) 233-1230
(937) 236-8930
Mailing address
1222 S PATTERSON BLVD, STE 400, DAYTON, OH 45402-2642
(937) 496-2620
(937) 424-8518
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A 00907
OH
237600000X
Audiologist-Hearing Aid Fitter
A 00907
OH
237700000X
Hearing Instrument Specialist
A 00907
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221897
ANTHEM GROUP #
OH
05
—
0510772
—
OH
Enumeration date
04/12/2007
Last updated
12/08/2017
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