Individual
MR. BRADY L PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5100 SHARON RD, CHARLOTTE, NC 28210-4768
(386) 447-4114
Mailing address
11413 MOONRIDGE DR, CHARLOTTE, NC 28226-4674
(704) 896-0520
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5416
NC
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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