Individual
REBEKAH KAYE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1407 S LAKE PARK AVE, UNIT A, HOBART, IN 46342-6635
(219) 947-3637
Mailing address
1611 BEECH ST, VALPARAISO, IN 46383-5109
(919) 946-1670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004480A
IN
Other
Enumeration date
10/31/2012
Last updated
04/30/2013
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