Individual
KRISTA DENDOR BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
673 COLUMBIA TPKE, EAST GREENBUSH, NY 12061-2130
(518) 233-0544
Mailing address
35 PERRY AVE, LATHAM, NY 12110-2433
(518) 867-9731
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
022658
NY
Other
Enumeration date
07/08/2018
Last updated
09/24/2021
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