Individual
MISS MIKAYLA ALEXIS BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
906 THOMPSON ST, ASHLAND, VA 23005-1128
(804) 798-3291
Mailing address
6319 FAULKNER DR, NORTH CHESTERFIELD, VA 23234-6154
(804) 980-6541
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
522634
VA
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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