Mrs. Jacquelin Elizabeth Bradley
Occupational Therapist - Gerontology
3517 11th St
Bremerton
, Washington 98312-2633
Mrs. Jacquelin Elizabeth Bradley
Occupational Therapist - Gerontology
3517 11th St
Bremerton
, Washington 98312-2633
(360) 876-0607
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Jacquelin Elizabeth Bradley
- 12580 Palo Alto Ln Se
- Port Orchard, WA
- Zip : 98367-9475
- Phone : (360) 876-0607
Second Address
- Mrs. Jacquelin Elizabeth Bradley
- 3517 11th St
- Bremerton, WA
- Zip : 98312-2633
- Phone : (360) 377-5537
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | OT 00001563 | WA |
National Provider Identifier
| NPI | 1700107356 |
|---|---|
| Provider Name | Mrs. Jacquelin Elizabeth Bradley |
| First Address | Port Orchard, WA 98367-9475 |
| Second Address | Bremerton, WA 98312-2633 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2010 |
| Last Update Date | 17/06/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.