Individual
MRS. STACEY CRAWLEY BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-2295
Mailing address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-2295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9276
NC
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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