Individual
JODY MARIE BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR CHT
Contact information
Practice address
2100 NE NEFF RD STE B, BEND, OR 97701-6213
(541) 330-0215
(541) 330-0221
Mailing address
2100 NE NEFF RD STE B, BEND, OR 97701-6213
(541) 330-0215
(541) 330-0221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
171
ID
225X00000X
Occupational Therapist
Primary
984275
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298996
—
OR
Enumeration date
12/29/2005
Last updated
07/08/2007
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