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GIDGETT LEANN BRADFORD OTR/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1881832202

Individual Registrant:
 GIDGETT LEANN BRADFORD OTR/L
Gender: F
Sole Proprietor

Location and contact information for practice:
731 N GRAND AVE  MC RAE, AR 72102-9708 US
Tel: 501-726-1700  Fax: --

Contact information for business:
731 N GRAND AVE  MC RAE, AR 72102-9708 US
Tel: 501-726-1700  Fax: --

Registration Information:
NPI: 1881832202
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
AR1210

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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