Individual
DR. BRADY WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5619 CAROLINA BEACH RD STE 120, WILMINGTON, NC 28412-2815
(910) 790-1976
(910) 790-1978
Mailing address
1200 CORPORATE DR STE 300, BIRMINGHAM, AL 35242-2944
(423) 682-8840
(423) 602-2028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209031
VA
225100000X
Physical Therapist
Primary
P15218
NC
Other
Enumeration date
08/26/2014
Last updated
02/13/2019
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