Individual
MARY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30630 HWY 72 WEST, MADISON, AL 35756
(888) 891-9339
Mailing address
2751 TAMMERACK LN SE, OWENS CROSS ROADS, AL 35763-8620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1997
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH1997
PHYSICAL THERAPY LICENSE
AL
Enumeration date
01/02/2007
Last updated
07/08/2007
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