Individual
BRYAN BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 10TH ST, ALAMOGORDO, NM 88310-6425
(575) 439-9878
Mailing address
1011 10TH ST, ALAMOGORDO, NM 88310-6425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5920
NM
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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