NPI 1093348922

Shane Bradley, OTA

Practitioner Occupational Therapy Assistant Merritt Island, FL

Practice location

Address: 1100 S Courtenay Pkwy, Merritt Island, FL 32952-3804
Phone: (321) 452-1233
Mailing address: 8477 S Suncoast Blvd, Homosassa, FL 34446-5028

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA17590 (FL)

Other Occupational Therapy Assistant providers in Florida →

Registry record

NPI: 1093348922
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2020
Record last updated: 19 Feb 2020

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.