Individual
STEPHENIE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 ROCKWELL DR, OKOLONA, MS 38860-1622
(662) 447-5777
Mailing address
599C STEED RD, RIDGELAND, MS 39157-1707
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT4999
MS
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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