Doctor Name: | BRIAN RISSER |
NPI Number: | 1134260003 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | PTH4963 |
Business Practice Address: | 205 Saraland Blvd N Saraland, AL - 365712126 |
Business Phone Number: | 2516790015 |
Business Fax Number: | 2516790091 |
Mailing Address: | 1212 Magnolia Bayou Blvd, OCEAN SPRINGS |
State: | MS |
Postal Code: | 395641203 |
Phone Number: | 2516896387 |
Fax Number: | 2516790091 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 10/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTH4963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |