Individual
ALYSSA NICHOLE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
236 CALDWELL DR, HAZLEHURST, MS 39083-2723
(601) 894-9004
Mailing address
133 WOODSONG WAY, MADISON, MS 39110-7715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6700
MS
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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