Bradley Richard Anderson, MS. OTR/L
Occupational Therapist in Highland Village, TX. Individual provider (NPI-1).
NPI number1184880635
StatusActive
Last updated in NPPESDec 30, 2014
Details
- NPI
- 1184880635
- Entity type
- Individual (NPI-1)
- Name
- Bradley Richard Anderson
- Credential
- MS. OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2008
- Last updated
- Dec 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 115435 | TX | Yes |
Practice location
609 Arbor CtHighland Village, TX 75077-7569
Phone 928-304-2223
Mailing address
609 Arbor CtHighland Village, TX 75077-7569
Phone 928-304-2223
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