Rayna K Bradley
Prosthetist in Maitland, FL. Individual provider (NPI-1).
NPI number1164067211
StatusActive
Last updated in NPPESNov 13, 2019
Details
- NPI
- 1164067211
- Entity type
- Individual (NPI-1)
- Name
- Rayna K Bradley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2019
- Last updated
- Nov 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224P00000X | Prosthetist | – | – | Yes |
Practice location
148 Lake AveMaitland, FL 32751-6424
Phone 601-941-6928
Mailing address
1295 Lake Rogers CirOviedo, FL 32765-7211
Phone 601-941-6928
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