Individual
MRS. ANN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5 HIGH ST, SUITE 203, MEDFORD, MA 02155-3860
(781) 395-7333
(781) 395-7331
Mailing address
106 GEORGE ST, ARLINGTON, MA 02476-7302
(781) 643-3882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8251
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y67093
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/19/2007
Last updated
11/19/2007
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