Individual provider · NPI-1

Brittany Marie Brady, L/PTA

Physical Therapy Assistant · Marietta, GA

NPI number1124586649
StatusActive
Last updated in NPPESMar 4, 2019

Details

NPI
1124586649
Entity type
Individual (NPI-1)
Name
Brittany Marie Brady
Credential
L/PTA
Sex
Female
Sole proprietor
No
Enumeration date
Mar 4, 2019
Last updated
Mar 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA003862GAYes

Practice location

613 Roselane St Nw
Marietta, GA 30060-6940

Phone 770-792-9800

Mailing address

770 James St Nw
Marietta, GA 30060-6915

Phone 706-892-5657

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