Individual
DR. JEREMY L BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CERT. MDT
Contact information
Practice address
205 ELM ST, PHOENIX, OR 97535-7759
(541) 622-2426
Mailing address
105 W BOLZ RD UNIT 1930, PHOENIX, OR 97535-6647
(541) 622-2426
(541) 227-6149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1236820
TX
225100000X
Physical Therapist
Primary
61159
OR
Other
Enumeration date
02/28/2014
Last updated
02/01/2024
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