Individual
KAYLA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3985 STEVE REYNOLDS BLVD BLDG G, NORCROSS, GA 30093-3001
(770) 622-2532
Mailing address
3985 STEVE REYNOLDS BLVD BLDG G, NORCROSS, GA 30093-3001
(770) 622-2532
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008072
GA
Other
Enumeration date
03/11/2019
Last updated
11/04/2021
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