Individual
MRS. JAKEDRA C BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1738 THOMASVILLE RD, TALLAHASSEE, FL 32303-5754
(850) 909-5521
Mailing address
384 BAYHEAD DR., TALLAHASSEE, FL 32304
(448) 200-7363
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17152
FL
Other
Enumeration date
04/26/2019
Last updated
07/20/2023
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