Individual
MEGHAN C BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 MAGNOLIA ST, ROSWELL, GA 30075-4381
(321) 474-6435
Mailing address
75 MAGNOLIA ST, ROSWELL, GA 30075-4381
(321) 474-6435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA 11548
FL
224Z00000X
Occupational Therapy Assistant
Primary
OTA002696
GA
Other
Enumeration date
06/05/2014
Last updated
09/28/2020
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