Individual
MR. BRYANT W. LARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Contact information
Practice address
401 N HAYDEN ST, BELZONI, MS 39038-3639
(662) 247-4446
(662) 247-2772
Mailing address
401 N HAYDEN ST, BELZONI, MS 39038-3639
(662) 247-4446
(662) 247-2772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1324
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04250591
—
MS
Enumeration date
10/04/2005
Last updated
03/13/2008
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