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Individual
BRADY CALVIN MELLINGER
Active
Individual
BRADY CALVIN MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
28990
MD
2255A2300X
Athletic Trainer
Primary
A0001627
MD
2255A2300X
Athletic Trainer
RT007587
PA
Other
Enumeration date
03/27/2019
Last updated
03/10/2025
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