Individual
KATHRYN JOHNSON BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
13000 BRUCE B DOWNS BLVD # 117, TAMPA, FL 33612-4745
(813) 610-2609
Mailing address
3804 NORTHRIDGE DR, VALRICO, FL 33596-7249
(813) 334-4055
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
17771
FL
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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