Individual
JENNIFER BRADAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L, LPC
Contact information
Practice address
4950 NORTHRIDGE DR, WILLOUGHBY, OH 44094-4391
(440) 942-4358
Mailing address
4950 NORTHRIDGE DR, WILLOUGHBY, OH 44094-4391
(440) 942-4358
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005217
OH
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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