Individual
BLAIN W BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
13 E CENTER, GUNNISON, UT 84634
(435) 660-1523
(435) 528-7000
Mailing address
PO BOX 396, GUNNISON, UT 84634-0396
(435) 528-7575
(435) 528-7000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107004-4201
UT
Other
Enumeration date
05/22/2006
Last updated
05/07/2014
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