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Contact Information

LASHANDA BRADFORD
10626 VORHOF DR
SAINT LOUIS, MO63136-5730
 Phone: 314-874-5895
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for LASHANDA BRADFORD · (Female)

NPI # 1053916536
Status Active
Credentials
Entity Individual
Enumeration date 12/02/2020
Last updated 12/02/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2013017894
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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