Individual
BRYSON WRAY STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
410 PILGRIM BLVD, HARTFORD CITY, IN 47348-1382
(765) 348-4197
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014367A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300087640
—
IN
Enumeration date
08/25/2023
Last updated
03/14/2024
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