Individual
JESSICA BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3231 MAIN ST STE 3, BRYANT, AR 72022-9201
(501) 847-0500
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5617
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029723
—
TN
Enumeration date
08/27/2020
Last updated
04/15/2025
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