Individual
MICHAEL BRADLEY TREADAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
101 S RIDGE RD, RAINBOW CITY, AL 35906-3651
(256) 899-9136
Mailing address
101 S RIDGE RD, RAINBOW CITY, AL 35906-3651
(256) 899-9136
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4157
AL
Other
Enumeration date
03/16/2019
Last updated
08/18/2020
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