Individual
GREGORYE BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1251 W HOUSTON ST, BROKEN ARROW, OK 74012-3734
(539) 367-4500
Mailing address
9904 S KINGSTON AVE, TULSA, OK 74137-5525
(918) 899-6331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2113
OK
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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