Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT-010896L | PA |
NPI | 1003145228 |
---|---|
Provider Name | Bryan M Hoyt |
First Address | Harrisburg, PA 17112-3803 |
Second Address | Elizabethtown, PA 17022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2009 |
Last Update Date | 17/12/2009 |