Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 293 | NH |
NPI | 1043529845 |
---|---|
Provider Name | Mrs. Christine L Bradley |
First Address | Manchester, NH 03104-1750 |
Second Address | Manchester, NH 03104-1750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2010 |
Last Update Date | 28/09/2010 |