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Individual

BRYAN JOSEPH LADISLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2949 JOHN HAWKINS PKWY, HOOVER, AL 35244-1095
(205) 396-1530
(205) 396-1535
Mailing address
2949 JOHN HAWKINS PKWY, HOOVER, AL 35244-1095
(205) 396-1530
(205) 396-1535

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
PTL.0011451
CO
225100000X
Physical Therapist
Primary
PTH7643
AL

Other

Enumeration date
07/16/2013
Last updated
09/29/2015
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