NPI 1164067211

Rayna K Bradley

Practitioner Prosthetist Maitland, FL

Practice location

Address: 148 Lake Ave, Maitland, FL 32751-6424
Phone: (601) 941-6928
Mailing address: 1295 Lake Rogers Cir, Oviedo, FL 32765-7211

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1164067211
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Nov 2019
Record last updated: 13 Nov 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.