Individual
MS. ELIZABETH RENEE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
130 S MIDLAND BLVD, NAMPA, ID 83686
(208) 461-5057
(208) 461-5210
Mailing address
770 S. 13TH STREET, P.O. BOX 9996, BOISE, ID 83707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
27080
FL
225100000X
Physical Therapist
Primary
PT-5826
ID
Other
Enumeration date
01/12/2012
Last updated
07/18/2018
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