Individual
MS. BRUCE H BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1201 PINE ST, ELDORADO, IL 62930-1634
(618) 273-2327
(618) 273-5501
Mailing address
1201 PINE ST, ELDORADO, IL 62930-1634
(618) 273-2327
(618) 273-5501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056003538
IL
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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