Individual
LEAH S BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3125 INDEPENDENCE DR, SUITE 300B, BIRMINGHAM, AL 35209-4159
(205) 879-7501
(205) 879-0675
Mailing address
3125 INDEPENDENCE DR, SUITE 300B, BIRMINGHAM, AL 35209-4159
(205) 879-7501
(205) 879-0675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5482
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51596742
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
PTH5482
STATE LICENSE
AL
Enumeration date
02/26/2009
Last updated
05/16/2014
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