Individual
BRYAN WALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
26795 EAST HIGHWAY 380, SUITE 200, AUBREY, TX 76227
(972) 347-6000
Mailing address
9104 WILD ROSE LN, CROSSROADS, TX 76227-2319
(972) 533-0276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1183117
TX
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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