Individual
BRYAN BURDETT WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2960 MACK RD, SUITE 103, FAIRFIELD, OH 45014-5373
(513) 870-5342
(513) 870-5343
Mailing address
534 TARA CT, GERMANTOWN, OH 45327-1638
(937) 238-8643
(937) 238-8864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT09412
OH
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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