Doctor Name: | MRS. SUSAN LEIGH BRADLEY |
NPI Number: | 1205060506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CERTIFIED THERAPEUTI |
License Number: | ID#22745 |
Business Practice Address: | 2200 Fort Roots Drive North Little Rock, AR - 721141706 |
Business Phone Number: | 5012573469 |
Business Fax Number: | 5012572253 |
Mailing Address: | 2200 Fort Roots Dr, NORTH LITTLE ROCK |
State: | AR |
Postal Code: | 721141709 |
Phone Number: | 5012573469 |
Fax Number: | 5012572253 |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 06/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225800000X |
License Number: | ID#22745 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Recreation Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |