Dale Owen Bryan

NPI #1124244264 in Douglas, Arizona

Provider Information

NPI Number: 1124244264
Entity Type: Individual
Name: Dale Owen Bryan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Apr 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2331 E 15TH ST
City: Douglas
State: Arizona
ZIP Code: 85607-2505
Phone: (520) 226-4184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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