Individual
BRYAN SAMUEL VINSON PRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3100 W MARSHALL ST, RICHMOND, VA 23230-4706
(804) 342-5857
(804) 355-0408
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207948
VA
225100000X
Physical Therapist
24512
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245679281
MEDICAID QMB PROVIDER ID
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
Enumeration date
06/24/2013
Last updated
05/04/2018
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