Individual
DALLAS BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
813 E GATE DR STE B, MOUNT LAUREL, NJ 08054-1238
(215) 873-1168
Mailing address
207 NATHANIEL AVE, CHERRY HILL, NJ 08003-1528
(215) 873-1168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00436200
NJ
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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