Provider Demographics
NPI:1598322372
Name:BRADLEY, CAREY HOVIS (OTD, OTR)
Entity type:Individual
Prefix:DR
First Name:CAREY
Middle Name:HOVIS
Last Name:BRADLEY
Suffix:
Gender:
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4129 ALLEGHANY DR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-8155
Mailing Address - Country:US
Mailing Address - Phone:704-975-9835
Mailing Address - Fax:
Practice Address - Street 1:4129 ALLEGHANY DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-8155
Practice Address - Country:US
Practice Address - Phone:704-975-9835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
VA0119008173225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist