Individual
BRODY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPY
Contact information
Practice address
4845 MAIN ST STE C, ZACHARY, LA 70791-3943
(225) 286-0181
Mailing address
4324 S SHERWOOD FOREST BLVD STE B170, BATON ROUGE, LA 70816-4481
(337) 469-3004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11925
LA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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