Individual
LISA DEEANN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CEAS
Contact information
Practice address
363 HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-6035
(601) 398-0171
(601) 398-0983
Mailing address
109 DIAMONDBACK LN, BRANDON, MS 39047-6060
(601) 316-7221
(601) 202-3063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5093
MS
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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