Stacia T Bryant
Physical Therapist - Pediatrics
14 Bridgewaters Dr Ste A
Oceanport
, New Jersey 07757-1184
Stacia T Bryant
Physical Therapist - Pediatrics
14 Bridgewaters Dr Ste A
Oceanport
, New Jersey 07757-1184
(908) 309-8241
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Stacia T Bryant
- 13 Orla Ct
- Tinton Falls, NJ
- Zip : 07724-4402
- Phone : (908) 309-8241
Second Address
- Stacia T Bryant
- 14 Bridgewaters Dr Ste A
- Oceanport, NJ
- Zip : 07757-1184
- Phone : (732) 542-6600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 40QA00211000 | NJ |
National Provider Identifier
| NPI | 1104171156 |
|---|---|
| Provider Name | Stacia T Bryant |
| First Address | Tinton Falls, NJ 07724-4402 |
| Second Address | Oceanport, NJ 07757-1184 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2012 |
| Last Update Date | 16/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.