Federico, Bryan

Federico, Bryan is an individual health care provider with primary practice located at 2410 Susannah St , Johnson City TN 37601-1748. 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. Federico, Bryan can be contacted via phone (423) 282-9011.

Contact Information

Primary practice address
2410 Susannah St Johnson City TN 37601-1748
Phone: (423) 282-9011
Fax: (423) 328-2003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8823 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12513 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05146R Louisiana

Profile Details

NPI number 1689741639
LBN Legal business name Federico, Bryan
Credentials DOCTOR OF PHYSICAL T
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Dec 7th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689741639 NPPES
Louisiana Other 05146R PHYSICAL THERAPY LICENSE

Popular Providers