Individual
RICHARD O'BRYAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 CRANES ROOST BLVD, SUITE #2090, ALTAMONTE SPRINGS, FL 32701-3468
(407) 494-0644
Mailing address
18738 NORTHROP ST, ORLANDO, FL 32833-4114
(407) 925-0952
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 15024
FL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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