Individual
CHRISTOPHER BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
17 WILLOW PKWY, NEW WINDSOR, NY 12553-7311
(845) 564-9853
(845) 564-6974
Mailing address
17 WILLOW PKWY, NEW WINDSOR, NY 12553-7311
(845) 564-9853
(845) 564-6974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006964-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006964-1
ASST OCCUPATIONAL THERAP
NY
Enumeration date
10/09/2007
Last updated
10/09/2007
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