Provider Demographics
NPI:1306654033
Name:BRYSON, CHRISTIAN JOHN (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:JOHN
Last Name:BRYSON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4162 BUNKER HILL DR S
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036-8814
Mailing Address - Country:US
Mailing Address - Phone:908-635-1898
Mailing Address - Fax:
Practice Address - Street 1:487 E MOORESTOWN RD STE 112
Practice Address - Street 2:
Practice Address - City:WIND GAP
Practice Address - State:PA
Practice Address - Zip Code:18091-9683
Practice Address - Country:US
Practice Address - Phone:484-526-7880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT032937225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist