NPI | 1104137330 |
---|---|
Former Name | TONYA M BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT006121) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2010-06-22 |
Last Update Date | 2024-11-08 |