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Susan Summerill Brady, MPT

Physical Therapist in Mc Lean, VA. Individual provider (NPI-1).

NPI number1316981228
StatusActive
Last updated in NPPESSep 26, 2008

Details

NPI
1316981228
Entity type
Individual (NPI-1)
Name
Susan Summerill Brady
Credential
MPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 15, 2006
Last updated
Sep 26, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2305004781VAYes
133N00000X Nutritionist002606–

Practice location

6845 Elm Street
Suite 110
Mc Lean, VA 22101

Phone 703-556-4424 · Fax 703-556-4435

Mailing address

550 Nalls Dairy Court
Great Falls, VA 22066

Phone 703-948-9176

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