Individual
MRS. MARY SUSAN BRADISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16753 SAGE ST, OMAHA, NE 68136-1421
(402) 895-7798
Mailing address
16753 SAGE ST, OMAHA, NE 68136-1421
(402) 895-7798
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
201
NE
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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