Individual
MR. BRADLEY JAMES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
10512 N 110TH EAST AVE, OWASSO, OK 74055-6636
(918) 376-8550
Mailing address
8732 E 105TH ST, TULSA, OK 74133-7057
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2056
OK
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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