Individual
BRYAN JEFFREY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
209 BETTY RD, PENSACOLA, FL 32507-2307
(850) 293-3000
Mailing address
209 BETTY RD, PENSACOLA, FL 32507-2307
(850) 293-3000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA74015
FL
3747P1801X
Personal Care Attendant
Primary
100094054
FL
Other
Enumeration date
05/13/2014
Last updated
08/14/2020
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