Individual
MRS. AMY JOLENE BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
245 E 8TH ST, WATSONTOWN, PA 17777-1033
(570) 538-2561
Mailing address
1446 FREEDOM ROAD, WILLIAMSPORT, PA 17701-3629
(570) 326-4083
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003328L
PA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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