Individual
VICTORIA ERIN BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
298 MEDLEY CT, VINE GROVE, KY 40175-8421
(270) 352-1133
Mailing address
298 MEDLEY CT, VINE GROVE, KY 40175-8421
(270) 352-1133
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
259924
KY
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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