Rayna K Bradley
Prosthetist
148 Lake Ave
Maitland
, Florida 32751-6424
Rayna K Bradley
Prosthetist
148 Lake Ave
Maitland
, Florida 32751-6424
(601) 941-6928
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Rayna K Bradley
- 1295 Lake Rogers Cir
- Oviedo, FL
- Zip : 32765-7211
- Phone : (601) 941-6928
Second Address
- Rayna K Bradley
- 148 Lake Ave
- Maitland, FL
- Zip : 32751-6424
- Phone : (601) 941-6928
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist |
National Provider Identifier
| NPI | 1164067211 |
|---|---|
| Provider Name | Rayna K Bradley |
| First Address | Oviedo, FL 32765-7211 |
| Second Address | Maitland, FL 32751-6424 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2019 |
| Last Update Date | 13/11/2019 |
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.