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Mrs. Ethel Ruth Bradshaw
Orthotic Fitter in Union Grove, North Carolina
NPI 1750618948

Ethel Ruth Bradshaw is a Orthotic Fitter based in Union Grove, NC. Ethel Ruth Bradshaw practices in Union Grove, NC. The NPI Number for Ethel Ruth Bradshaw is 1750618948 and holds a License No. (North Carolina).

The current practice location address for Ethel Ruth Bradshaw is 1892 West Memorial Hwy, Union Grove, NC and can be reached out via phone at 704-539-4445 and via fax at 704-539-4663.

Location: 1892 West Memorial Hwy, Union Grove, NC, 28689-0103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750618948
Provider Name
Ethel Ruth Bradshaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
1892 West Memorial Hwy, Union Grove, NC, 28689-0103
Phone Number
704-539-4445
Fax Number
704-539-4663
Provider Enumeration Date
11/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7703861 05 NC
institution
Provider Business Practice Location Address Details
Address
1892 West Memorial Hwy
City
Union Grove
State
North Carolina
Zip
28689-9049
Phone Number
704-539-4445
Fax Number
704-539-4663
person
Provider Business Mailing Address Details
Address
1892 West Memorial Hwy
City
Union Grove
State
North Carolina
Zip
28689-9049
Phone Number
704-539-4445
Fax Number
704-539-4663
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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