Individual
ASHLEY BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13609 CALIFORNIA ST STE 200, OMAHA, NE 68154-5245
(800) 856-0375
Mailing address
2325 VANN PARK CIR APT A, EVANSVILLE, IN 47714-9331
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004295
IL
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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