Individual
SCOTT R. BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
311 SIMPSON RD, ANDERSON, SC 29621-2157
(864) 261-3875
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1580
SC
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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