Individual
MR. BRADY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1193 OXFORD PL, GREENVILLE, MS 38701-8325
(662) 822-8069
Mailing address
1193 OXFORD PL, GREENVILLE, MS 38701-8325
(662) 822-8069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1707
MS
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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