Individual
EBONY GREEN BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
5661 LEIDEN RD, BALTIMORE, MD 21206-2916
(443) 303-7744
Mailing address
5661 LEIDEN RD, BALTIMORE, MD 21206-2916
(443) 303-7744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01687
MD
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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