Individual
MR. BRADLEY YARBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
201 CLUB PINES DR, GREENVILLE, NC 27834-6724
(252) 412-2483
Mailing address
201 CLUB PINES DR, GREENVILLE, NC 27834-6724
(252) 412-2483
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6444
NC
Other
Enumeration date
06/18/2011
Last updated
06/18/2011
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