Doctor Name: | CHANCE BRADY |
NPI Number: | 1639554546 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1262088 |
Business Practice Address: | 1365 W University Blvd Odessa, TX - 797647121 |
Business Phone Number: | 4325800011 |
Business Fax Number: | 4325800044 |
Mailing Address: | 2525 N Grandview Ave Ste 400, ODESSA |
State: | TX |
Postal Code: | 797611621 |
Phone Number: | 4325504700 |
Fax Number: | 4325504715 |
NPI Enumeration Date: | 07/22/2015 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1262088 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |