Doctor Name: | BETHANIE MAE BRYAN |
NPI Number: | 1780024364 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | PT009471 |
Business Practice Address: | 1014 Forsyth St Macon, GA - 312012025 |
Business Phone Number: | 4786332742 |
Business Fax Number: | 4786336268 |
Mailing Address: | 2490 Riverside Dr, Ste B MACON |
State: | GA |
Postal Code: | 31204 |
Phone Number: | 4786336633 |
Fax Number: | 4786334295 |
NPI Enumeration Date: | 06/27/2013 |
NPI Last Update Date: | 12/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT009471 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |