Individual
MR. WILLIAM BRIAN BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS OTRL
Contact information
Practice address
1500 WILSON LOOP, WARD, AR 72176
(501) 941-5630
Mailing address
3501 N CYPRESS ST, NORTH LITTLE ROCK, AR 72116-9362
(870) 768-5194
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR 1947
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y712
BCBS
AR
Enumeration date
04/16/2007
Last updated
07/08/2007
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