Individual
KIRSTEN BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KIRSTEN BRADLEY
Contact information
Practice address
142 BERMUDA VILLAGE DR, ATTN: PT/OT DEPARTMENT, ADVANCE, NC 27006-7867
(336) 998-6112
Mailing address
3945 LOIS ST, WINSTON SALEM, NC 27127-5832
(336) 785-0096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5461
NC
Other
Enumeration date
03/14/2010
Last updated
03/14/2010
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