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Individual

BRYAN PATRICK CARLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
6351 N. FORT APACHE ROAD., LAS VEGAS, NV 89149
(702) 686-6469
(971) 206-5203
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007703
CT
225100000X
Physical Therapist
Primary
2663
NV

Other

Enumeration date
06/26/2007
Last updated
08/16/2012
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