Individual
CARSON BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 GREER ST STE A, CORDELE, GA 31015-1921
(229) 273-9445
Mailing address
1107 GREER ST STE A, CORDELE, GA 31015-1921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009400
GA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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