Doctor Name: | MRS. TIFFANY A BRYAN |
NPI Number: | 1053473710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | WV002345 |
Business Practice Address: | 105 Trinity Lakes Dr Sun City Center, FL - 335735728 |
Business Phone Number: | 8136340729 |
Business Fax Number: | |
Mailing Address: | 11129 Golden Silence Dr, RIVERVIEW |
State: | FL |
Postal Code: | 335792344 |
Phone Number: | 3045430534 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 04/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | WV002345 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |