Individual
LARISSA ROSE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5301 CREEDMOOR RD, RALEIGH, NC 27612-3822
(919) 629-9145
Mailing address
61 BAKER AVE, WHARTON, NJ 07885-2108
(862) 324-1566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16883
NJ
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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