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BRYTTNIE MEAGAN ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2364 N APPLE LN, POCATELLO, ID 83204-7231
(903) 875-5408
Mailing address
2364 N APPLE LN, POCATELLO, ID 83204-7231
(903) 875-5408

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2064487
TX
225200000X
Physical Therapy Assistant
PTA-340
ID

Other

Enumeration date
01/26/2009
Last updated
01/26/2009
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