# BRADY PEDIATRIC THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134790694
- **Authorized official:** TAYLOR ALLEN BRADY DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (217) 714-8333

## Contact information

- **Practice address:** 350 HAMILTON PKWY, EASLEY, SC 29642-3040
- **Practice address phone:** (217) 713-8333
- **Mailing address:** 350 HAMILTON PKWY, EASLEY, SC 29642-3040
- **Mailing address phone:** (217) 713-8333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2021
- **Last updated:** 09/08/2021