Individual
MR. TOMAS FERDINAND BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
301 W FERTITTA BLVD, STE 4, LEESVILLE, LA 71446-4666
(337) 238-9931
(337) 239-0066
Mailing address
301 W FERTITTA BLVD, STE 4, LEESVILLE, LA 71446-4666
(337) 238-9931
(337) 239-0066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07511
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07511
LA LICENSE
LA
Enumeration date
03/02/2011
Last updated
03/02/2011
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