Individual
BRYAN DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
51 CLUB DRIVE, MAMMOTH LAKES, CA 93546
(760) 709-6161
(760) 929-2612
Mailing address
PO BOX 1549, MAMMOTH LAKES, CA 93546-1549
(760) 709-6161
(760) 929-2612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28289
CA
Other
Enumeration date
02/13/2007
Last updated
03/24/2011
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