Organization
LAUREN BRADLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN BRADLEY OTR (OCCUPATIONAL THERAPY)
(718) 825-7016
Entity
Organization
Contact information
Practice address
2137 WALLACE AVE, APT 425, BRONX, NY 10462-2475
(718) 825-7016
Mailing address
2137 WALLACE AVE, APT 425, BRONX, NY 10462-2475
(718) 825-7016
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
007842
NY
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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