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NPI Code Detail

MEDICARE: DR. ERIN BRADLEY DOT

MEDICARE:  DR. ERIN  BRADLEY  DOT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0019XPhysical Rehabilitation Occupational TherapistOT24819FL
2225X00000XOccupational TherapistOT24819FL

General Provider Information

NPI Number : 1477302834
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN BRADLEY DOT
Provider Business Mailing Address
First Line : 5221 POCATELLA CT
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-5835
Country : US
Telephone Number : 239-292-6498
Fax Number :
Provider Business Practice Location Address
First Line : 10591 VENETO DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-7021
Country : US
Telephone Number : 239-244-3835
Fax Number : 239-984-1343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2024
Last Update Date : 05/16/2024

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Directions to “ DR. ERIN BRADLEY DOT” Practice Location

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