Individual
GEENA BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 758-0570
Mailing address
156 WEST AVE, BROCKPORT, NY 14420-1229
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
042588
NY
2251X0800X
Orthopedic Physical Therapist
Primary
042588
NY
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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