Individual
MRS. HEATHER ANN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 NORTH WASHINGTON AVENUE, SCRANTON, PA 18503
(570) 343-1950
(570) 343-1951
Mailing address
1619 SUMMIT LAKE ROAD, CLARKS SUMMIT, PA 18411
(570) 586-2187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0C009604
PA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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