BRADY SUPRIADI

FONTANA, CA
NPI1346905841
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT301113)
Enumeration Date2021-11-01
Last Update Date2021-11-01
Business Address
BRADY SUPRIADI DPT
8545 SIERRA AVE
FONTANA, CA 92335-3868
Phone number: 909-365-3557
Mailing Address
BRADY SUPRIADI DPT
8545 SIERRA AVE
FONTANA, CA 92335-3868
Phone number: 909-365-3557
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