Shane Bradley, OTA
NPI #1093348922 in Merritt Island, Florida
Provider Information
- NPI Number
- 1093348922
- Entity Type
- Individual
- Name
- Shane Bradley, OTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- OTA
- Enumeration Date
- Feb 19, 2020
- Last Updated
- Feb 19, 2020
Practice Location
- Address
- 1100 S COURTENAY PKWY
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32952-3804
- Phone
- (321) 452-1233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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