Individual
MS. LEIGH MICHELLE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/R
Contact information
Practice address
120 HEATHER CT, MOCKSVILLE, NC 27028-2950
(336) 972-4967
Mailing address
120 HEATHER CT, MOCKSVILLE, NC 27028-2950
(336) 972-4967
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5186
NC
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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