Individual
KATHRYN FOY BRYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 HOLLYWOOD BLVD SW STE 7, FORT WALTON BEACH, FL 32548-4893
(850) 226-7411
(850) 226-7496
Mailing address
6225 LAPIS LN, CRESTVIEW, FL 32539-5424
(850) 865-0754
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT20469
OCCUPATIONAL THERAPY LICENSE
—
Enumeration date
12/02/2019
Last updated
03/09/2022
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