Individual
KIMBERLY DENISE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
305 TENDRILL CT, COLUMBIA, SC 29210-3842
(803) 750-1991
(855) 686-3533
Mailing address
421 HOPESTONE XING, IRMO, SC 29063-7603
(803) 750-1991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2834
SC
Other
Enumeration date
10/13/2008
Last updated
04/17/2013
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