Individual
DR. SAMANTHA L BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2217 DILLON RD, CLOVIS, NM 88101-9454
(575) 769-7356
Mailing address
1625 S AVENUE C, PORTALES, NM 88130-7207
(505) 228-2049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5107
NM
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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