BRYAN GODBOUT

MEMPHIS, TN
NPI1780328054
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  7578)
Enumeration Date2022-04-23
Last Update Date2022-04-23
Business Address
BRYAN GODBOUT
3535 KIRBY PKWY
MEMPHIS, TN 38115-3721
Phone number: 612-229-3615
Mailing Address
BRYAN GODBOUT
1796 CRUMP AVE
MEMPHIS, TN 38107-4513
Phone number: 612-229-3615
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