Individual
ELS P BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2302 N BOGUS BASIN RD STE C, BOISE, ID 83702-1024
(208) 344-0737
(208) 344-0759
Mailing address
1841 N 19TH ST, BOISE, ID 83702-0708
(907) 441-6986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
AA546
AK
225100000X
Physical Therapist
Primary
PT-6648
ID
Other
Enumeration date
08/13/2006
Last updated
11/28/2022
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