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Individual
MR. BRYAN M MEHIGEN
Active
Individual
MR. BRYAN M MEHIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9536
CT
2251G0304X
Geriatric Physical Therapist
9536
CT
2251N0400X
Neurology Physical Therapist
9536
CT
2251S0007X
Sports Physical Therapist
9536
CT
2251X0800X
Orthopedic Physical Therapist
9536
CT
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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