Individual
MISS RACHEL DIANE BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
254 LANCASTER AVE, MALVERN, PA 19355-3087
(610) 525-1000
Mailing address
128 SUMAC ST APT 1F, PHILADELPHIA, PA 19128-3866
(423) 327-3606
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OC014825
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366295
NBCOT
—
01
—
OC014825
PA LICENSE
PA
Enumeration date
11/27/2017
Last updated
11/27/2017
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