Provider Demographics
NPI:1215915491
Name:MARSHALL-BRADBURY, TERESA (RPSGT)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:
Last Name:MARSHALL-BRADBURY
Suffix:
Gender:F
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 LANCASTER ST STE 331
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-4397
Mailing Address - Country:US
Mailing Address - Phone:508-796-3227
Mailing Address - Fax:
Practice Address - Street 1:435 LANCASTER ST STE 331
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-4397
Practice Address - Country:US
Practice Address - Phone:508-796-3227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
No156F00000XEye and Vision Services ProvidersTechnician/Technologist