Individual
ELENA MARIA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
262 STICKLES TER, KINGSTON, NY 12401-7510
(845) 594-4208
(845) 459-8115
Mailing address
262 STICKLES TER, KINGSTON, NY 12401-7510
(845) 594-4208
(845) 459-8115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006534
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006534
LICENSE
NY
Enumeration date
08/23/2006
Last updated
03/18/2015
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