Individual
MS. TRACI CYNA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
6062 COPPERFIELD DR APT 838, FORT WORTH, TX 76132-2617
(313) 800-1690
Mailing address
6062 COPPERFIELD DR APT 838, FORT WORTH, TX 76132-2617
(313) 800-1690
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210536
TX
Other
Enumeration date
12/30/2022
Last updated
12/30/2022
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