Individual
BRADY WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10272 CAUSEWAY BLVD, TAMPA, FL 33619-6606
(813) 542-2619
Mailing address
10272 CAUSEWAY BLVD, TAMPA, FL 33619-6606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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