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1417261223
STEVEN BRADLEY HOUSEHOLDER
ROANOKE, VA
NPI
1417261223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131000419)
Enumeration Date
2010-08-04
Last Update Date
2010-08-04
Business Address
Mr. STEVEN BRADLEY HOUSEHOLDER cota/l
2631 BRAMBLETON AVE SW
ROANOKE, VA 24015-4305
Phone number: 540-774-3485
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Mailing Address
Mr. STEVEN BRADLEY HOUSEHOLDER cota/l
2631 BRAMBLETON AVE SW
ROANOKE, VA 24015-4305
Phone number: 540-774-3485
Copy
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