Whalio Doctors

NPI 1205060506

Susan Leigh Bradley, CERTIFIEDTHERAPEUTI

Practitioner Recreation Therapist North Little Rock, AR

Practice location

Address
2200 Fort Roots Drive, North Little Rock, AR 72114-1706
Phone
(501) 257-3469
Fax
(501) 257-2253
Mailing address
2200 Fort Roots Dr, North Little Rock, AR 72114-1709

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence ID#22745 (NY)

Registry record

NPI
1205060506
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 May 2009
Record last updated
17 Jun 2009

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.