Bradley Kettersmith

NPI #1457738205 in Robbinsdale, Minnesota

Provider Information

NPI Number: 1457738205
Entity Type: Individual
Name: Bradley Kettersmith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 30, 2015
Last Updated: Apr 30, 2015

Practice Location

Address: 3815 W BROADWAY AVE
City: Robbinsdale
State: Minnesota
ZIP Code: 55422-2207
Phone: (888) 873-4221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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