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Individual

BRIAN DY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, CSCS

Contact information

Practice address
10584 MANDEVILLA CT, SANTA FE SPRINGS, CA 90670-6902
(626) 283-1526
Mailing address
10584 MANDEVILLA CT, SANTA FE SPRINGS, CA 90670-6902
(626) 283-1526

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
38412
CA

Other

Enumeration date
10/21/2015
Last updated
10/21/2015
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