Individual
BRYAN KEITH GUILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1120 SE CARY PKWY STE 101, CARY, NC 27518-7413
(919) 467-7801
Mailing address
5002 FIELD AND STREAM RD, RALEIGH, NC 27613-7533
(919) 345-4436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2573
NC
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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