Individual
MRS. KAREN KRISTINE BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
114 LEATHERTON WAY, GREENVILLE, SC 29615
(864) 281-9799
Mailing address
114 LEATHERTON WAY, GREENVILLE, SC 29615-5955
(864) 288-1415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1575
SC
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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