Individual
EBONY BRADBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1062 W MERCURY BLVD, HAMPTON, VA 23666-1068
(757) 223-1466
Mailing address
173 LANE CRES, SMITHFIELD, VA 23430-5844
(757) 647-6855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009562
VA
Other
Enumeration date
07/21/2022
Last updated
08/01/2025
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