Individual
BRADLEY NOBILE GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LOTR
Contact information
Practice address
1101 MEDICAL CENTER BLVD, SUITE S 750, MARRERO, LA 70072-3147
(504) 340-6976
Mailing address
3348 CASTLE DR, KENNER, LA 70065-2918
(504) 909-3015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200471
LA
Other
Enumeration date
02/02/2014
Last updated
02/02/2014
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