Hannley, Bryan M

Hannley, Bryan M is an individual health care provider with primary practice located at 3100 N Campbell Ave Suite 101, Tucson AZ 85719-7305. 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. Hannley, Bryan M can be contacted via phone (520) 797-7246.

Contact Information

Primary practice address
3100 N Campbell Ave Suite 101 Tucson AZ 85719-7305
Phone: (520) 797-7246
Fax: (866) 281-9515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3279 Arizona

Profile Details

NPI number 1891757175
LBN Legal business name Hannley, Bryan M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Aug 24th, 2007 - about 19 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 1891757175 NPPES
Arizona MEDICAID 914201

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