Individual
DANA VITALE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8410 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2012
(215) 708-1200
Mailing address
11704 DIMARCO DR, PHILADELPHIA, PA 19154-4316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006533L
PA
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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