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Individual

JACLYN BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
306 E WHITTIER AVE, FAIRBORN, OH 45324-5313
(937) 878-3961
(937) 879-8180
Mailing address
306 E WHITTIER AVE, FAIRBORN, OH 45324-5313
(937) 878-3961
(937) 879-8180

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT016401
OH

Other

Enumeration date
11/03/2016
Last updated
11/03/2016
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