Individual
MR. BRYAN WHITEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, PES
Contact information
Practice address
1786 PARK CENTRAL DR, SUITE 360, ORLANDO, FL 32835
(407) 290-2471
Mailing address
1083 SINGLETON CIR, GROVELAND, FL 34736-8311
(407) 468-5727
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
AL 1542
FL
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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