Individual
MISS KIRSTEN SARYSSA BRYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
465 N HOOPER ST, CARO, MI 48723-1406
(989) 672-5112
Mailing address
1316 JOANN CT, PORT HURON, MI 48060-2088
(810) 299-1742
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013033
MI
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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