Bradbury, Jody Marie
Bradbury, Jody Marie is an individual health care provider with primary practice located at 2100 Ne Neff Rd Ste B , Bend OR 97701-6213. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bradbury, Jody Marie can be contacted via phone (541) 330-0215.Contact Information
Primary practice address
2100 Ne Neff Rd Ste B
Bend OR 97701-6213
Phone: (541) 330-0215
Fax: (541) 330-0221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 984275 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 171 | Idaho |
Profile Details
| NPI number | 1558348607 |
|---|---|
| LBN Legal business name | Bradbury, Jody Marie |
| Credentials | OTR CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558348607 | NPPES |
| Oregon | MEDICAID | 298996 |
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