Individual
DR. BRADY LOREN KENSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(928) 402-1280
Mailing address
18402 E EL BUHO PEQUENO, GOLD CANYON, AZ 85118-7526
(218) 591-7947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8528
AZ
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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