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HEATHER BRYAN PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1922475516

Individual Registrant:
 HEATHER  BRYAN PTA
Gender: F
Sole Proprietor

Location and contact information for practice:
7016 S SHORE DR S  SOUTH PASADENA, FL 33707-4605 US
Tel: 727-638-8801  Fax: --

Contact information for business:
7016 S SHORE DR S  SOUTH PASADENA, FL 33707-4605 US
Tel: 727-638-8801  Fax: --

Registration Information:
NPI: 1922475516
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
N225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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