Individual
JULIETTE P BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 E 149TH ST, BRONX, NY 10451-5516
(718) 665-7565
(718) 665-7595
Mailing address
114 CREEKSIDE CIR, SPRING VALLEY, NY 10977-3914
(718) 665-7565
(718) 665-7595
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003158
NY
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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