Individual
MR. KEVIN MICHAEL GRADY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1198 SMILEY AVE, CINCINNATI, OH 45240-1865
(513) 671-6362
(513) 671-6368
Mailing address
1391 HAZELGROVE DR, CINCINNATI, OH 45240-1117
(513) 379-7971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10312
OH
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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