Organization
BRYAN S. DENNISON
Active
Other names
Summit Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN SHAWN DENNISON PT, DPT (PHYSICAL THERAPIST (OWNER))
(310) 488-6706
Entity
Organization
Contact information
Practice address
51 CLUB DR., MAMMOTH LAKES, CA 93546
(760) 709-6161
(760) 929-2612
Mailing address
PO BOX 682, MAMMOTH LAKES, CA 93546-0682
(760) 709-6161
(760) 929-2612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 28289
CA
2251E1200X
Ergonomics Physical Therapist
PT 28289
CA
2251G0304X
Geriatric Physical Therapist
PT 28289
CA
2251H1200X
Hand Physical Therapist
PT 28289
CA
2251N0400X
Neurology Physical Therapist
PT 28289
CA
2251P0200X
Pediatric Physical Therapist
PT 28289
CA
2251S0007X
Sports Physical Therapist
PT 28289
CA
2251X0800X
Orthopedic Physical Therapist
PT 28289
CA
Other
Enumeration date
06/10/2010
Last updated
01/11/2011
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