Individual
KARIS BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
359 SCHOOL AVE, WEST FORK, AR 72774-3176
(479) 839-2231
Mailing address
620 W LAFAYETTE ST APT 21, FAYETTEVILLE, AR 72701-4129
(901) 651-8516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
02/20/2024
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