Individual
MICHELLE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
211 DAVIS DR, WEST PLAINS, MO 65775-2242
(417) 256-0798
(417) 256-3996
Mailing address
211 DAVIS DR, WEST PLAINS, MO 65775-2242
(417) 256-0798
(417) 256-3996
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2017012414
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224Z00000X
—
MO
Enumeration date
05/02/2017
Last updated
05/02/2017
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