Individual
BETHANIE MAE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1101 DUNBAR RD, WARNER ROBINS, GA 31093-3805
(478) 508-1018
Mailing address
1101 DUNBAR RD, WARNER ROBINS, GA 31093-3805
(478) 785-1024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009471
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136594D
—
GA
Enumeration date
06/27/2013
Last updated
08/03/2021
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