Geralyn Joy Bradley, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Safford, AZ
NPI 1861894479 · NPPES record last updated Sep 25, 2014
Key facts
- NPI
- 1861894479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5440 (AZ)
- Practice address
- 1600 S 20TH Ave
Safford, AZ 85546-4011 - Phone
- (928) 348-3888
- NPI assigned
- Sep 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5440 | AZ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5440 | AZ | Yes |
Addresses
Primary practice location
1600 S 20TH Ave
Safford, AZ 85546-4011
Mailing address
44 W 100 N
Pima, AZ 85543-9669
Phone (928) 348-3888
Other providers in Safford, AZ
- Jeffrey Tyler Bingham
- Deborah L Black
- Darvil Lee Boren
- Tyler Boyack
- Bradley R. Smith DMD, DHSC PLLC
- Shelby Brockman
- Kristen Brockmeier-Hughes
- Colleen Ruth Broderick
- Christopher Brogan
- Terry Brooks
All providers in Safford, AZ · Occupational Therapy Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.