Individual
BRYCEN NICOLE RAYBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
164 W 79TH ST APT 1C, NEW YORK, NY 10024-6440
(212) 712-2014
Mailing address
1716 2ND AVE APT 3F, NEW YORK, NY 10128-3520
(972) 249-7503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023718
NY
225X00000X
Occupational Therapist
120093
TX
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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