SearchNew Mexico225X00000X

Autumn Bradberry, OTR

NPI 1437274107 · on the registry since 2007 · sole proprietor

Practice

Address
#14 Black Mountain Road
Cliff, NM 88028
Phone
(505) 590-0824

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico