Bryant, Douglas Harold

Bryant, Douglas Harold is an individual health care provider with primary practice located at 3500 Coffee Rd Ste 3, Modesto CA 95355-1344. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bryant, Douglas Harold can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
3500 Coffee Rd Ste 3 Modesto CA 95355-1344
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5578 California

Profile Details

NPI number 1073504486
LBN Legal business name Bryant, Douglas Harold
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073504486 NPPES
California Other 00PT55780 BLUE SHIELD

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