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Individual

ELIZABETH J BRYANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
4640 MARTIN RD STE 300, CUMMING, GA 30041-5571
(678) 679-1261
Mailing address
4048 FAIRMONT ST, GAINESVILLE, GA 30506-2694
(678) 316-4080

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005375
GA

Other

Enumeration date
11/22/2011
Last updated
11/22/2011
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