Individual
MAGAN MCBRYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-5510
Mailing address
1006 MILTON CT, KINGSPORT, TN 37664-3583
(813) 732-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000009140
TN
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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