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Individual

MRS. JACQUELIN ELIZABETH BRADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.R./L

Contact information

Practice address
3517 11TH ST, BREMERTON, WA 98312-2633
(360) 377-5537
Mailing address
12580 PALO ALTO LN SE, PORT ORCHARD, WA 98367-9475
(360) 876-0607

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT 00001563
WA

Other

Enumeration date
06/17/2010
Last updated
06/17/2010
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