Jaclyn Brady, DPT
Physical Therapist, Pediatrics in Fairborn, OH. Individual provider (NPI-1).
NPI number1841742012
StatusActive
Last updated in NPPESNov 3, 2016
Details
- NPI
- 1841742012
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn Brady
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2016
- Last updated
- Nov 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | PT016401 | OH | Yes |
Practice location
306 E Whittier AveFairborn, OH 45324-5313
Phone 937-878-3961 · Fax 937-879-8180
Mailing address
306 E Whittier AveFairborn, OH 45324-5313
Phone 937-878-3961 · Fax 937-879-8180
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