Provider Demographics
NPI:1538129499
Name:BURNSTEIN, BRYAN DANIEL (MS, ATC, CSCS, PES)
Entity Type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:DANIEL
Last Name:BURNSTEIN
Suffix:
Gender:M
Credentials:MS, ATC, CSCS, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4185 N THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MI
Mailing Address - Zip Code:48623-8854
Mailing Address - Country:US
Mailing Address - Phone:989-781-0669
Mailing Address - Fax:989-752-9016
Practice Address - Street 1:5789 STATE ST
Practice Address - Street 2:SUITE #2
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-3581
Practice Address - Country:US
Practice Address - Phone:989-781-0669
Practice Address - Fax:989-752-9016
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer