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Individual

BRIAN RISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
205 SARALAND BLVD N, SARALAND, AL 36571-2126
(251) 679-0015
(251) 679-0091
Mailing address
1212 MAGNOLIA BAYOU BLVD, OCEAN SPRINGS, MS 39564-1203
(251) 689-6387
(251) 679-0091

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4963
AL

Other

Enumeration date
02/12/2007
Last updated
10/25/2011
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