NPI 1669426573 · live from the CMS NPI Registry
Blain W Bradford, OT
Occupational Therapist in Gunnison, UT. National Provider Identifier 1669426573, active.
NPI record
| NPI | 1669426573 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 13 E Center, Gunnison, UT 84634 |
| Practice phone | 435-660-1523 |
| Mailing address | Po Box 396, Gunnison, UT 84634 |
| Enumerated | May 22, 2006 |
| Last updated | May 7, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 107004-4201 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.