| Organization Name: | BRYAN S. DENNISON |
| NPI Number: | 1093035156 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRYAN SHAWN DENNISON (PHYSICAL THERAPIST (OWNER)) |
| Mailing Address: | 51 Club Dr. Mammoth Lakes |
| State: | CA US |
| Postal Code: | 93546 |
| Phone Number: | 7607096161 |
| Fax Number: | 7609292612 |
| NPI Enumeration Date: | 06/10/2010 |
| NPI Last Update Date: | 01/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251E1200X |
| License Number: | PT 28289 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Ergonomics |
| Taxonomy Definition: | |