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Individual

SANDRA KAY BRYAN-TERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
6800 TERRY STREET, KING SALMON, AK 99613-0335
(907) 246-3566
Mailing address
PO BOX 335, KING SALMON, AK 99613-0335
(907) 246-3566

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
968
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PT7782
AK
Enumeration date
04/12/2007
Last updated
01/07/2008
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