Individual
KATHALEEN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT870036
DC
2251N0400X
Neurology Physical Therapist
19889
MD
Other
Enumeration date
05/16/2007
Last updated
06/07/2012
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