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1164732756
TARA BRADLEY
RANCHO SANTA MARGARITA, CA
NPI
1164732756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CA OT 10033)
Enumeration Date
2010-10-15
Last Update Date
2010-10-15
Business Address
-- TARA BRADLEY MA, OTR/L
30412 ESPERANZA
RANCHO SANTA MARGARITA, CA 92688
Phone number: 949-459-1658
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Mailing Address
-- TARA BRADLEY MA, OTR/L
15 GRACE LANE
COTO DE CAZA, CA 92679
Phone number: 949-212-4221
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