IndividualActive
Beau Bradberry, OTR
NPI 1972945400 · Occupational Therapist · Las Cruces, NM
Provider details
- NPI number
- 1972945400
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Male
- Sole proprietor
- No
- License
- 3083 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1350 Hillrise Cir
Las Cruces, NM 88011-4759
Phone: (575) 522-9528
Fax: (575) 523-1108
Approximate (ZIP-level) locationGet directions
Mailing address
1350 Hillrise Cir
Las Cruces, NM 88011-4759
Registry dates
- Enumerated
- 2013-07-25
- Last updated
- 2013-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.