Individual
KIMBERLY ROXANN BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1608 GUNBARREL RD, SUITE 201, CHATTANOOGA, TN 37421-7197
(423) 892-8070
(423) 858-0323
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3619
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446652
—
TN
01
—
3156797
BCBST
TN
05
—
5441975
—
TN
Enumeration date
08/31/2007
Last updated
02/27/2008
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