Provider Demographics
NPI:1053559120
Name:TEMPLEMAN, BRYAN ERNEST (DPT)
Entity type:Individual
Prefix:MR
First Name:BRYAN
Middle Name:ERNEST
Last Name:TEMPLEMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3239 KEMPTON AVE
Mailing Address - Street 2:APT 9
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5883
Mailing Address - Country:US
Mailing Address - Phone:805-895-4114
Mailing Address - Fax:
Practice Address - Street 1:3239 KEMPTON AVE
Practice Address - Street 2:APT (
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5883
Practice Address - Country:US
Practice Address - Phone:805-895-4114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT353512251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic