Individual
JACOB O'BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1350 CONCOURSE AVE STE 363, MEMPHIS, TN 38104-2023
(901) 260-6155
(901) 260-6156
Mailing address
1350 CONCOURSE AVE STE 363, MEMPHIS, TN 38104-2023
(901) 260-6155
(901) 260-6156
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7375
TN
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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