Scott Bryan, AT
Specialist/Technologist, Athletic Trainer in Lorain, OH. Individual provider (NPI-1).
NPI number1841769304
StatusActive
Last updated in NPPESNov 14, 2018
Details
- NPI
- 1841769304
- Entity type
- Individual (NPI-1)
- Name
- Scott Bryan
- Credential
- AT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2018
- Last updated
- Nov 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT002400 | OH | Yes |
Practice location
5700 Cooper Foster Park Rd WLorain, OH 44053-4152
Phone 440-204-7800
Mailing address
4079 Sterling Station DrBrunswick, OH 44212-3992
Phone 216-408-9412
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