Individual
WANDA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
(773) 685-8482
Mailing address
5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
(773) 685-8482
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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