Individual
TYLER BRADY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 N MAIN ST, WILKES BARRE, PA 18701-2007
(570) 780-4233
Mailing address
133 N MAIN ST, WILKES BARRE, PA 18701-2007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/14/2020
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