| NPI Details | |
|---|---|
| NPI | 1073504486 |
| Gender | Male |
| Enumeration Date | 11/03/2005 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 3500 COFFEE RD STE 3 MODESTO CA, 95355-1344, US |
|
| Phone | (209) 342-2300 |
| Fax | (209) 524-4240 |
| Business Location | |
|---|---|
| 4301 NORTHSTAR WAY MODESTO CA, 95356-9262, US |
|
| Phone | (209) 342-2300 |
| Fax | (209) 524-4240 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | California |
| License Number | PT5578 |
| Remove 1073504486 NPI Number | |
According to our database, Douglas Harold Bryant PT NPI is 1073504486, taxonomy code is 225100000X and license number is PT5578, license state is located at California. Douglas Harold Bryant PT physically located at 3500 Coffee Rd, Modesto CA, 95355-1344. NPI Number Douglas Harold Bryant PT has the Individual type.
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1073504486 NPI number is provided on an as is basis without warranty of any kind. 1073504486 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas Harold Bryant PT are for informational purposes only.
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