Doctor Name: | BRYAN BURDETT WRIGHT |
NPI Number: | 1295042323 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT09412 |
Business Practice Address: | 2960 Mack Rd Suite 103 Fairfield, OH - 450145373 |
Business Phone Number: | 5138705342 |
Business Fax Number: | 5138705343 |
Mailing Address: | 534 Tara Ct, GERMANTOWN |
State: | OH |
Postal Code: | 453271638 |
Phone Number: | 9372388643 |
Fax Number: | 9372388864 |
NPI Enumeration Date: | 09/10/2010 |
NPI Last Update Date: | 09/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT09412 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |