Individual
SOPHIA MARIE O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-5128
Mailing address
28 INDEPENDENCE TRL, WACO, TX 76708-9603
(254) 855-4095
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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