Individual
ANGELA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 55TH ST, CLARENDON HILLS, IL 60514-1578
(630) 789-1135
Mailing address
1941 GROVE AVE APT 4B, BERWYN, IL 60402-1763
(630) 789-1135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003226
IL
Other
Enumeration date
10/05/2014
Last updated
10/05/2014
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