Individual
CARRIE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
510 WILD CHERRY DR, DELAND, FL 32724-7887
(386) 624-3454
Mailing address
510 WILD CHERRY DR, DELAND, FL 32724-7887
(386) 624-3454
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA48336
FL
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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