Individual
LUCAS BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
540 S COLLEGE AVE STE 160, NEWARK, DE 19713-1302
(302) 831-8893
Mailing address
4942 GRANT DR, BROOKHAVEN, PA 19015-1030
(302) 388-7561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003802
DE
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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