MEDICARE: ADRIANNA E BRYANT

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
1	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1528895505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANNA E BRYANT

Provider Business Mailing Address
First Line	:	825 FOUNTAIN AVE
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4532
Country	:	US
Telephone Number	:	717-693-5532
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 FOUNTAIN AVE
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4532
Country	:	US
Telephone Number	:	717-693-5532
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	09/16/2024

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Directions to “ ADRIANNA E BRYANT ” Practice Location

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