Individual
NANCY J BRYANT
Active
Individual
NANCY J BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT-092
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010018448
REGENCE BLUE SHIELD
ID
05
—
002721200
—
ID
01
—
1650588
OTHER MISC. INSURANCES
ID
01
—
185549800
US DEPT OF LABOR
ID
01
—
820517063
CHAMPUS
ID
01
—
T0304
BLUE CROSS
ID
Enumeration date
07/01/2005
Last updated
01/13/2010
Update your record
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