Individual
ELIZABETH BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 N GRANT AVE, CONGERS, NY 10920-1611
(914) 673-8469
Mailing address
114 N GRANT AVE, CONGERS, NY 10920-1611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012947-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012947-1
—
NY
Enumeration date
09/23/2011
Last updated
09/23/2011
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