LACEY RAE BRADFORD

AUSTIN, TX
NPI1841443769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  113949)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
225XM0800X Occupational Therapist, Mental Health
225X00000X Occupational Therapist
(Licence: OR  277138)
Enumeration Date2008-10-23
Last Update Date2011-06-15
Business Address
-- LACEY RAE BRADFORD MOTR/L
5001 CONVICT HILL RD APT 1106
AUSTIN, TX 78749-2272
Phone number: 541-206-4467
Mailing Address
-- LACEY RAE BRADFORD MOTR/L
5001 CONVICT HILL RD APT 1106
AUSTIN, TX 78749-2272
Phone number: 541-206-4467