Gray, Bradley John
Gray, Bradley John is an individual health care provider with primary practice located at 7320 216Th St Sw Ste 320 , Edmonds WA 98026-8006. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is his primary health care specialty. Gray, Bradley John can be contacted via phone (425) 673-3916.Contact Information
Primary practice address
7320 216Th St Sw Ste 320
Edmonds WA 98026-8006
Phone: (425) 673-3916
Fax: (425) 673-3926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT60020246 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT60020246 | Washington |
Profile Details
| NPI number | 1124232020 |
|---|---|
| LBN Legal business name | Gray, Bradley John |
| Credentials | MOTRL, CHT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Dec 22nd, 2021 - about 4 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 | 1124232020 | NPPES |
| Washington | MEDICAID | 2033397 | |
| Washington | Other | 332019 |
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