Bradford, Lacey Rae

Bradford, Lacey Rae is an individual health care provider with primary practice located at 5001 Convict Hill Rd Apt 1106, Austin TX 78749-2272. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Bradford, Lacey Rae can be contacted via phone (541) 206-4467.

Contact Information

Primary practice address
5001 Convict Hill Rd Apt 1106 Austin TX 78749-2272
Phone: (541) 206-4467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 113949 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 277138 Oregon

Profile Details

NPI number 1841443769
LBN Legal business name Bradford, Lacey Rae
Credentials MOTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2008
Last updated Jun 15th, 2011 - about 13 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.

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