Individual
TORRIA T. O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP
Contact information
Practice address
1322 MAPLETON AVE, CHARLESTON, SC 29412-9728
(843) 670-0527
Mailing address
1322 MAPLETON AVE, CHARLESTON, SC 29412-9728
(843) 670-0527
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4558
SC
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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