Individual
MR. BRYAN PAUL WHITESIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, OCS
Contact information
Practice address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(978) 068-3274
Mailing address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(978) 068-3274
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0006022
CO
Other
Enumeration date
10/18/2006
Last updated
09/26/2016
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