National Provider Identifier
Bryan Adam Wilson, PTA
Bryan Adam Wilson, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Olean, NY and a listed phone number of (716) 375-7481.
Profile Overview
- NPI
- 1336425685
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- November 01, 2011
- Last Updated
- November 01, 2011
Practice Location
- 515 Main St
- Olean, NY 14760-1513
Phone: (716) 375-7481
Mailing Address
- 401 Laurens St Apt D
- Olean, NY 14760-2575
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1336425685
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Bryan
- Middle Name
- Adam
- Name Prefix
- Mr.
- Credential
- PTA
- Mailing Street Address
- 401 Laurens St Apt D
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-2575
- Mailing Country
- US
- Practice Street Address
- 515 Main St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1513
- Practice Country
- US
- Practice Phone
- (716) 375-7481
- Enumeration Date
- November 01, 2011
- Last Updated
- November 01, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)