Individual
CAROLYN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
430 MILWAUKEE AVE STE AA, LINCOLNSHIRE, IL 60069-3016
(847) 821-8300
(847) 821-9300
Mailing address
5901 W BEHREND DR APT 2146, GLENDALE, AZ 85308-6955
(815) 721-0038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024404
IL
225100000X
Physical Therapist
13345-24
WI
225100000X
Physical Therapist
LPT30150
AZ
225100000X
Physical Therapist
P18981
NC
Other
Enumeration date
07/20/2018
Last updated
10/23/2019
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