Jessica L Bradford in Amery - Occupational Therapist

Jessica L Bradford - NPI 1093873390

Jessica L Bradford is a Occupational Therapist in Amery, Wisconsin. Jessica L Bradford practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jessica L Bradford is 1093873390. The last update date is 2007-07-08.

Jessica L Bradford's current location address is 505 Keller Ave Sq, Amery, Wisconsin. You can contact this provider via phone number 7152686900 and fax number 7152686895. The mailing address for Jessica L Bradford is 505 Keller Ave Sq, Amery, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica L Bradford
Address 505 Keller Ave Sq, Amery, Wisconsin
Phone Number 7152686900
Fax Number 7152686895
Sole Proprietor N
Credentials ORTL

NPI Number Detail

NPI Number 1093873390
Provider Enumeration Date 2006-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 505 Keller Ave Sq
City Amery
State Wisconsin (WI)
Post Code 54001
Phone Number 7152686900
Fax Number 7152686895

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 4452 026
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HP66372 HEALTH PARTNERS
6406747 MEDICA INS
41037300 WI --
530COBR BC BS OF MN

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FAQs about Jessica L Bradford

What is the unique identifier code issued to Jessica L Bradford by the Centers for Medicare & Medicaid Services (CMS)?

The Jessica L Bradford has been assigned the NPI (National Provider Identifier) 1093873390. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Jessica L Bradford is geographically located?

The Jessica L Bradford is physically situated at the following location: 505 Keller Ave Sq, Amery, WI, 54001.

What is Jessica L Bradford's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jessica L Bradford is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.

On what date did the Jessica L Bradford receive its 1093873390 assignment from the Centers for Medicare & Medicaid Services?

The Jessica L Bradford was assigned its 1093873390 by the Centers for Medicare & Medicaid Services on 2006-12-05.

As of what date was the information regarding Jessica L Bradford, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jessica L Bradford, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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