Individual
MRS. MONICA BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
829 UNION ST, BANGOR, ME 04401-3009
(207) 973-6023
Mailing address
829 UNION ST, BANGOR, ME 04401-3009
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
OT3102
ME
225XP0200X
Pediatric Occupational Therapist
OT3102
ME
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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