Individual
BRYANT EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1320 N HOOVER ST, LOS ANGELES, CA 90027-6008
(310) 382-0076
Mailing address
1320 N HOOVER ST, LOS ANGELES, CA 90027-6008
(310) 382-0076
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
8359
CA
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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