MRS. Cliniece Vaught Bradshaw, COTAL
NPI #1710182506 in Granite Falls, North Carolina
Provider Information
- NPI Number
- 1710182506
- Entity Type
- Individual
- Name
- MRS. Cliniece Vaught Bradshaw, COTAL
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTAL
- Enumeration Date
- Jun 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4975 JM CRAIG RD
- City
- Granite Falls
- State
- North Carolina
- ZIP Code
- 28630-9295
- Phone
- (828) 728-7595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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