Individual
DONNA BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7624 MALLOW RD, WILMINGTON, NC 28411-7315
(910) 232-8522
Mailing address
7624 MALLOW RD, WILMINGTON, NC 28411-7315
(910) 232-8522
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2011
NC
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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