Individual
JENNIFER A BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
302 E 24TH ST, BRYAN, TX 77803-5303
(979) 821-9478
Mailing address
2812 MANZANO CT, COLLEGE STATION, TX 77845-7701
(903) 522-2247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2104693
TX
Other
Enumeration date
07/21/2014
Last updated
11/06/2014
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