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Individual

BRADY ANDREW ERNST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
174 INDUSTRIAL PARK RD, JANE LEW, WV 26378-9785
(048) 848-2373
(304) 884-8924
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(304) 917-3660
(304) 917-3674

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004554
WV
225100000X
Physical Therapist
PT029802
PA
225100000X
Physical Therapist

Other

Enumeration date
10/04/2021
Last updated
09/06/2022
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