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NPI Code Detail

MEDICARE: CARSON RYAN BRAY PTA

MEDICARE: CARSON RYAN BRAY PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantA8510NC

General Provider Information

NPI Number : 1033918594
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARSON RYAN BRAY PTA
Provider Business Mailing Address
First Line : 35 OAKCREST DR
Second Line :
City : MARION
State : NC
Zip : 28752-4992
Country : US
Telephone Number : 828-989-4880
Fax Number :
Provider Business Practice Location Address
First Line : 20 W MEDICAL CT
Second Line :
City : MARION
State : NC
Zip : 28752-4968
Country : US
Telephone Number : 828-659-8049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2025
Last Update Date : 03/10/2025

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Directions to “ CARSON RYAN BRAY PTA” Practice Location

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