Individual
PHYLLIS BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1450 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-9569
Mailing address
155 E 99TH ST APT 42, NEW YORK, NY 10029-6773
(212) 410-3687
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003850-1
NY
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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