Individual
BRADY IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
OTR
Contact information
Practice address
17280 W NORTH AVE, BROOKFIELD, WI 53045-4366
(262) 928-8830
Mailing address
19403 ROCK POINTE WAY APT C202, LANNON, WI 53046-0070
(779) 221-5791
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8685
WI
225XP0200X
Pediatric Occupational Therapist
8685-26
WI
Other
Enumeration date
07/25/2025
Last updated
08/25/2025
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