Individual
MRS. ANDREA MARIE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
928 ENTERPRISE LN, MOUNT CARMEL, IL 62863-2922
(618) 263-1066
Mailing address
3553 SUMNER RD, SUMNER, IL 62466-4638
(618) 554-1097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009805
IL
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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