Individual
DR. ALBERT JUSTIN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3701 PENDER DR STE 125, FAIRFAX, VA 22030-6101
(800) 404-6050
(866) 313-3397
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 318-3007
(210) 469-0682
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
0104-556983
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104-556983
CHIROPRACTIC LICENSE
VA
01
—
04063
CHIROPRACTIC LICENSE
MD
Enumeration date
02/29/2012
Last updated
08/31/2023
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