Individual
WENDY LEA BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6258 FORESTWOOD DR E, LAKELAND, FL 33811-2401
(863) 640-4480
Mailing address
6258 FORESTWOOD DR E, LAKELAND, FL 33811-2401
(863) 640-4480
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
921470
FL
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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