Leonora Theresa Bradley, MS, OTR, CIMI

Individual provider Active NPI Occupational Therapist · Point Pleasant Boro, NJ

NPI 1669795597 · NPPES record last updated Mar 6, 2010

Key facts

NPI
1669795597
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
46TR00282500 (NJ)
Practice address
928 Arnold Ave
Suite E
Point Pleasant Boro, NJ 08742-2368
Phone
(732) 899-8050
Fax
(732) 612-1354
NPI assigned
Mar 6, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
46TR00282500NJMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00282500 NJ Yes

Addresses

Primary practice location

928 Arnold Ave
Suite E
Point Pleasant Boro, NJ 08742-2368

Mailing address

928 Arnold Ave
Suite E
Point Pleasant Boro, NJ 08742-2368
Phone (732) 899-8050

Other providers in Point Pleasant Boro, NJ

All providers in Point Pleasant Boro, NJ · Occupational Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.