Individual
MR. BRIAN JOSEPH GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2344 S 3RD ST., JACKSONVILLE BEACH, FL 32250
(904) 270-2000
(904) 270-0010
Mailing address
11360 CR 13 N, ST. AUGUSTINE, FL 32092
(904) 270-2000
(904) 270-0010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA31790
FL
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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