Individual
SHELBY BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 FORTINO BLVD, PUEBLO, CO 81008
(719) 696-7799
Mailing address
2233 ACADEMY PL STE 200, COLORADO SPRINGS, CO 80909-1666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
BOTDCT00221513
KY
Other
Enumeration date
08/19/2015
Last updated
02/20/2024
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