Individual
JACQUELINE SNOW BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3532 DUNN RD, EASTOVER, NC 28312-8894
(910) 323-3223
Mailing address
606 MCLAMB DR, FAYETTEVILLE, NC 28301-2428
(190) 488-9878
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4772
NC
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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