Individual
MS. DEBBIE S BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2305 CALLE DE REAL NW, ALBUQUERQUE, NM 87104-3075
(505) 243-0777
(505) 243-0777
Mailing address
2305 CALLE DE REAL NW, ALBUQUERQUE, NM 87104-3075
(505) 243-0777
(505) 243-0777
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
807
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4104
—
NM
Enumeration date
07/14/2006
Last updated
07/09/2007
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