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Individual

KASEY MICHELLE BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1036 S MAIN ST, HAMBURG, AR 71646-8980
(870) 853-0857
Mailing address
1320 HIGHWAY 133 N, CROSSETT, AR 71635-4857
(870) 415-9137

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1707
AR

Other

Enumeration date
07/19/2022
Last updated
07/19/2022
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