Individual
IRINA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-7500
(207) 621-7501
Mailing address
15 ENTERPRISE DR, AUGUSTA, ME 04330-7997
(207) 621-7500
(207) 621-7501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3464
ME
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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