Individual
MRS. ALYSSA BRYANT EDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-3820
(706) 721-2273
Mailing address
6140 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3820
(803) 642-0700
(803) 642-0588
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8161
SC
225100000X
Physical Therapist
Primary
PT012677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8161
STATE LICENSE
SC
01
—
PT012677
STATE LIC
GA
Enumeration date
06/05/2016
Last updated
06/14/2024
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