Individual
MRS. LYDIA BRADFORTD OTIATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1818 GEORGIAN CT, SOUTH BEND, IN 46614-1878
(574) 514-8127
(574) 231-9021
Mailing address
1818 GEORGIAN CT, SOUTH BEND, IN 46614-1878
(574) 514-8127
(574) 231-9021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003922A
IN
Other
Enumeration date
05/18/2007
Last updated
12/12/2016
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