Brady Supriadi, DPT

NPI #1346905841 in Fontana, California

Provider Information

NPI Number
1346905841
Entity Type
Individual
Name
Brady Supriadi, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Nov 1, 2021
Last Updated
Nov 1, 2021

Practice Location

Address
8545 SIERRA AVE
ZIP Code
92335-3868
Phone
(909) 365-3557

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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