Provider Demographics
NPI:1033923982
Name:BRYAN, BRYN (MA, LAT, ATC)
Entity type:Individual
Prefix:MRS
First Name:BRYN
Middle Name:
Last Name:BRYAN
Suffix:
Gender:F
Credentials:MA, LAT, ATC
Other - Prefix:
Other - First Name:BRYN
Other - Middle Name:
Other - Last Name:HARDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LAT, ATC
Mailing Address - Street 1:1704 SKILES BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7322
Mailing Address - Country:US
Mailing Address - Phone:484-886-9930
Mailing Address - Fax:
Practice Address - Street 1:1704 SKILES BLVD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7322
Practice Address - Country:US
Practice Address - Phone:484-886-9930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer