Individual
MR. MARK CHARLES BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
40 W 36TH AVE, SPOKANE, WA 99203-1621
(509) 993-9955
Mailing address
40 W 36TH AVE, SPOKANE, WA 99203-1621
(509) 993-9955
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60039318
WA
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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