Individual
CARLA RENEE BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 N 1464 RD, LAWRENCE, KS 66049-9184
(785) 766-9958
Mailing address
925 N 1464 RD, LAWRENCE, KS 66049-9184
(785) 766-9958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01153
KS
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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