| NPI | 1407554348 |
|---|---|
| Former Name | VICTORIA SANDRA BRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA02072200) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT41464) |
| 225100000X Physical Therapist (Licence: DE J1-0014522) | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-04-16 |