Individual
MR. BRYON GRAULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, PTA
Contact information
Practice address
5233 E KEYNOTE ST, LONG BEACH, CA 90808-2526
(949) 533-5667
Mailing address
5233 E KEYNOTE ST, LONG BEACH, CA 90808-2526
(949) 533-5667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
AT 3266
CA
2255A2300X
Athletic Trainer
Primary
508124013
CA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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