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Contact Information

JILLIAN BRADLEY, C.O.T.A.
174 CLAY FARM RD
BECKLEY, WV25801-4545
 Phone: 304-573-0709
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JILLIAN BRADLEY · (Female)

NPI # 1437561081
Status Active
Credentials C.O.T.A.
Entity Individual
Enumeration date 05/29/2014
Last updated 05/29/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WV License # C1744
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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