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Individual

ALICE MAE BRADFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3012
Mailing address
4 YAQUI PL, SHERWOOD, AR 72120-3617
(501) 257-7301

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR471
AR

Other

Enumeration date
09/28/2006
Last updated
07/08/2007
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