Individual
TONYA BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3716 NATIONAL DRIVE, SUITE 124, RALEIGH, NC 27612-4863
(919) 783-8846
Mailing address
3716 NATIONAL DRIVE, SUITE 124, RALEIGH, NC 27612-4863
(919) 783-8846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6699
NC
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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