Individual
LAUREN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
17042 WAUSAU AVE, SOUTH HOLLAND, IL 60473-3352
(773) 484-5099
Mailing address
17042 WAUSAU AVE, SOUTH HOLLAND, IL 60473-3352
(773) 484-5099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057005418
IL
224Z00000X
Occupational Therapy Assistant
Primary
6877
CA
Other
Enumeration date
09/28/2020
Last updated
09/29/2024
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