Individual
BRYAN P MCDADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 EUREKA SQ, UNIT 217, PACIFICA, CA 94044-2654
(650) 557-0885
(650) 477-1506
Mailing address
80 EUREKA SQ, UNIT 217, PACIFICA, CA 94044-2654
(650) 557-0885
(650) 477-1506
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
09/05/2006
Last updated
03/02/2010
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