Individual
STEPHANIE LYNNE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 MANOR DR NE, PALM BAY, FL 32905-3141
(321) 537-8319
Mailing address
1411 MANOR DR NE, PALM BAY, FL 32905-3141
(321) 537-8319
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10026
FL
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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