ELLEN BRADLEY

GREENSBORO, NC
NPI1720330145
Former NameELLEN HOUCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2012-10-09
Last Update Date2012-10-09
Business Address
-- ELLEN BRADLEY
3511 W MARKET ST STE B
GREENSBORO, NC 27403-4442
Phone number: 336-294-3338
Mailing Address
-- ELLEN BRADLEY
6608 PORTRAIT DR
GREENSBORO, NC 27410-4074
Phone number: 336-337-6087