Individual
KIMBERLY BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
5220 JASPER ST, METAIRIE, LA 70006-2546
(504) 430-2738
(504) 889-6633
Mailing address
5220 JASPER ST, METAIRIE, LA 70006-2546
(504) 430-2738
(504) 889-6633
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12169
LA
Other
Enumeration date
03/13/2007
Last updated
09/22/2016
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