Individual
JORDAN AMBER BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09694
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09694
MARYLAND OT LICENSE
MD
01
—
22907
FLORIDA OT LICENSE
FL
01
—
469710
NBCOT CERTIFICATION NUMBER
—
Enumeration date
07/10/2022
Last updated
01/03/2025
Update your record
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