NPI 1003474362

Jill Margret Bradway

Practitioner Speech-Language Pathologist Grand Rapids, MI

Practice location

Address: 1095 Medical Park Dr SE, Grand Rapids, MI 49546-3685
Phone: (616) 588-9210
Mailing address: 11099 Wildlife Dr SE, Lowell, MI 49331-8824

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 7101002179 (MI)

Other Speech-Language Pathologist providers in Michigan →

Registry record

NPI: 1003474362
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2019
Record last updated: 3 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.