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Individual

MR. BRADY HARRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
214 N WEST AVE STE B, JACKSON, MI 49201-1903
(517) 268-9040
(517) 268-9042
Mailing address
3073 SHIRLEY DR, JACKSON, MI 49201-7010
(517) 990-6211
(517) 990-6212

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018700
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C32343
BCBS
MI
Enumeration date
06/01/2018
Last updated
02/05/2025
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