Individual
MARISSA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10061 SWEETWATER PKWY, JACKSONVILLE, FL 32256-3977
(904) 519-1034
Mailing address
3676 BLUE WING CT, ORANGE PARK, FL 32065-2518
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21622
FL
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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