Organization
BREDY PHYSICAL THERAPY AND SPORTS REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANIA BREDY (CEP)
(704) 246-7026
Entity
Organization
Contact information
Practice address
10590 INDEPENDENCE POINTE PKWY STE 201, MATTHEWS, NC 28105-4176
(704) 246-7026
(704) 246-6527
Mailing address
10590 INDEPENDENCE POINTE PKWY STE 201, MATTHEWS, NC 28105-4176
(704) 246-7026
(704) 246-6527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386005304
—
NC
Enumeration date
03/18/2016
Last updated
04/13/2023
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