Individual
BRYAN CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
87 I-10 N SUITE 225, BEAUMONT, TX 77707
(409) 835-0228
Mailing address
3701 OAKDALE DR, GROVES, TX 77619-6353
(409) 338-1898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2029817
TX
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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