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Individual

ANNE LORENE BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., ATC, LAT, CES

Contact information

Practice address
21 BEAMER WAY 150 JAMERSON ATHLETIC CENTER, BLACKSBURG, VA 24061-1024
(540) 231-2711
(540) 231-7335
Mailing address
21 BEAMER WAY 150 JAMERSON ATHLETIC CENTER, BLACKSBURG, VA 24061-0001
(540) 231-2711

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0126002257
VA
174400000X
Specialist
AT001815
GA

Other

Enumeration date
06/21/2012
Last updated
12/18/2022
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