Individual
BERNADETTE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10915 W 133RD AVE, CEDAR LAKE, IN 46303-9706
(219) 390-7498
Mailing address
2906 HIGHWAY AVE, HIGHLAND, IN 46322-1631
(219) 513-8311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002619A
IN
Other
Enumeration date
08/15/2014
Last updated
03/20/2018
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