Individual
BRADLEY D ROSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 385-5514
Mailing address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 385-5514
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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