Individual
NANCY ALICE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1707 CENTER ST, SUITE 201, MOBILE, AL 36604-3307
(251) 415-8577
(251) 415-8578
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
997
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02235218
—
MS
05
—
1528135928
—
AL
01
—
51539349
BCBS 1707 CENTER ST
AL
01
—
51546148
BCBS 1610 CENTER ST
AL
Enumeration date
11/29/2006
Last updated
04/16/2008
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