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Individual

BRIAN DYESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
3017 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6046
(504) 828-0880
Mailing address
1205 SAINT CHARLES AVE APT 505, NEW ORLEANS, LA 70130-8405
(601) 415-3929

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08702R
LA

Other

Enumeration date
10/18/2013
Last updated
10/18/2013
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