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Individual

COURTNEY ANNE BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CTRS

Contact information

Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-6535
Mailing address
1015 NW 21ST AVE APT 117, GAINESVILLE, FL 32609-3448
(352) 222-1902

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R61470366
BLUECROSS BLUESHIELD
FL
Enumeration date
01/30/2023
Last updated
01/30/2023
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