Individual
BRANDON BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 E CLEVELAND AVE, SAPULPA, OK 74066-4829
(918) 848-0262
Mailing address
1310 E CLEVELAND AVE, SAPULPA, OK 74066-4829
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1457
OK
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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