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Individual
BRYAN JOSEPH LADISLAS
Active
Individual
BRYAN JOSEPH LADISLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
PTL.0011451
CO
225100000X
Physical Therapist
Primary
PTH7643
AL
Other
Enumeration date
07/16/2013
Last updated
09/29/2015
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