Individual
BRADY PATRICK TOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 727-8762
Mailing address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 727-8762
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102886
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41034000
—
WI
Enumeration date
07/18/2006
Last updated
07/08/2007
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