Individual
BRELON T BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Mailing address
826 PRIMOS AVE, JACKSON, MS 39209-6137
(228) 627-1604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6512
MS
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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