Individual
MRS. VICKIE LYNN BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-4272
(803) 278-1794
Mailing address
1097 HIGHWAY 220 W, LINCOLNTON, GA 30817-1724
(706) 359-3307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2450
SC
225X00000X
Occupational Therapist
3190
GA
Other
Enumeration date
10/02/2006
Last updated
03/13/2008
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