Individual
KIMBERLY BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3458
(256) 997-2460
Mailing address
251 JOHNSTON ST SE STE 200, DECATUR, AL 35601-2515
(125) 635-0176
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6932
AL
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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