Individual
MS. CAROLE IRENE BRYANT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
113 LONGWOOD DR SW, SUITE D, HUNTSVILLE, AL 35801-4556
(256) 536-2699
Mailing address
113 LONGWOOD DR SW, SUITE D, HUNTSVILLE, AL 35801-4556
(256) 536-2699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
113
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-93678
BLUECROSSBLUESHIELD OF AL
AL
Enumeration date
06/14/2006
Last updated
07/08/2007
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