Individual
BRYAN A RAHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11701 SAN JOSE BLVD STE 210, JACKSONVILLE, FL 32223-0756
(904) 345-7450
Mailing address
202 N MARSH COVE LN, PONTE VEDRA BEACH, FL 32082-1633
(609) 217-7060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT32680
FL
2251X0800X
Orthopedic Physical Therapist
PT32680
FL
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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