| Doctor Name: | ANNE LORENE BRYAN |
| NPI Number: | 1205199544 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., ATC, LAT |
| License Number: | AT001815 |
| Business Practice Address: | 510 Stadium Rd 150 Jamerson Athletic Center Blacksburg, VA - 240611024 |
| Business Phone Number: | 5402312711 |
| Business Fax Number: | 5402317335 |
| Mailing Address: | 510 Stadium Rd, 150 Jamerson Athletic Center BLACKSBURG |
| State: | VA |
| Postal Code: | 240611024 |
| Phone Number: | 5402312711 |
| Fax Number: | |
| NPI Enumeration Date: | 06/21/2012 |
| NPI Last Update Date: | 08/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | AT001815 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |