Individual
DANIELLE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2314 PULASKI HWY, NORTH EAST, MD 21901-3730
(410) 287-2940
Mailing address
1350 BALDWIN MILL RD, JARRETTSVILLE, MD 21084-1906
(910) 650-7569
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00865
MD
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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