THEODORUS BRYAN

CHARLOTTE, NC
NPI1942989744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-07-18
Last Update Date2023-07-18
Business Address
THEODORUS BRYAN
420 HAWTHORNE LN
CHARLOTTE, NC 28204-2312
Phone number: 704-780-4271
Mailing Address
THEODORUS BRYAN
420 HAWTHORNE LN
CHARLOTTE, NC 28204-2312
Phone number: 704-780-4271