# BRYAN DAVIS BEASLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548587694
- **Gender:** Man
- **Credential:** ATC/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | AT002017 | GA | Yes |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 12/17/2013