Individual
MRS. MARY ANN H BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1458 W POPLAR AVE, SUITE 100, COLLIERVILLE, TN 38017-0630
(901) 759-5491
(901) 759-5491
Mailing address
1458 W POPLAR AVE, COLLIERVILLE, TN 38017-0630
(901) 759-5491
(901) 759-5493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8628
TN
225100000X
Physical Therapist
Primary
PT4585
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08651206
—
MS
Enumeration date
07/27/2009
Last updated
09/11/2014
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