Individual
JESSICA DANIELLE BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-4000
Mailing address
12919 79TH AVENUE CT E, PUYALLUP, WA 98373-5474
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60316927
WA
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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