Brian David Kanyer, PT

NPI #1982801650 in Long Beach, Indiana

Provider Information

NPI Number: 1982801650
Entity Type: Individual
Name: Brian David Kanyer, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Jun 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2200 OAKENWALD DR
City: Long Beach
State: Indiana
ZIP Code: 46360-1527
Phone: (219) 874-9079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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