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Individual

JENNA MARIE BRYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
901 RIDGE RD, ROXBORO, NC 27573-4511
(336) 599-0106
Mailing address
4130 LILLINGTON DR, DURHAM, NC 27704-2245
(814) 254-2388

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12380
NC

Other

Enumeration date
03/29/2019
Last updated
03/08/2023
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