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Individual
JOHN ANDREW BRYAN
Active
Individual
JOHN ANDREW BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03813
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467736181
—
IA
01
—
P01403218
RR MEDICARE
IA
Enumeration date
09/29/2011
Last updated
02/23/2015
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