Doctor Name: | BRYAN DENNISON |
NPI Number: | 1235271115 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT28289 |
Business Practice Address: | 51 Club Drive Mammoth Lakes, CA - 93546 |
Business Phone Number: | 7607096161 |
Business Fax Number: | 7609292612 |
Mailing Address: | Po Box 1549, MAMMOTH LAKES |
State: | CA |
Postal Code: | 935461549 |
Phone Number: | 7607096161 |
Fax Number: | 7609292612 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 03/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT28289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |