Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT870036 | DC |
N | 2251N0400X | Physical Therapist - Neurology | 19889 | MD |
NPI | 1659588333 |
---|---|
Provider Name | Kathaleen Brady |
First Address | Bethesda, MD 20817-1809 |
Second Address | Bethesda, MD 20817-1809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 07/06/2012 |