Individual
MR. BRYAN ANDERSON STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1200 OLD WARREN RD, MONTICELLO, AR 71655-9723
(870) 367-1548
(870) 367-1383
Mailing address
1200 OLD WARREN RD, MONTICELLO, AR 71655-9723
(870) 367-1548
(870) 367-1383
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3818
AR
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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