National Provider Identifier
Jerome W Bradigan, COTA/L
Jerome W Bradigan, COTA/L is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant in Fredonia, NY and a listed phone number of (716) 679-1581.
Profile Overview
- NPI
- 1891003448
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- September 16, 2010
- Last Updated
- September 16, 2010
Practice Location
- 425 E Main St
- Fredonia, NY 14063-1451
Phone: (716) 679-1581
Mailing Address
- 10 Holmes Pl
- Fredonia, NY 14063-1214
Specialties
- Occupational Therapy Assistant (224Z00000X)
Full Record
- NPI
- 1891003448
- Entity Type
- Individual
- Last Name
- Bradigan
- First Name
- Jerome
- Middle Name
- W
- Name Prefix
- Mr.
- Credential
- COTA/L
- Mailing Street Address
- 10 Holmes Pl
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1214
- Mailing Country
- US
- Mailing Phone
- (716) 672-7723
- Practice Street Address
- 425 E Main St
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1451
- Practice Country
- US
- Practice Phone
- (716) 679-1581
- Practice Fax
- (716) 679-9043
- Enumeration Date
- September 16, 2010
- Last Updated
- September 16, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapy Assistant (224Z00000X)