Most Relevant Information
Provider Data
| NPI Number: | 1003370610 |
| Provider Name: | MICHELE CONSTANCE BRYANT OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT17576 |
Most Important Dates
| Enumeration Date: | 01/28/2019 |
| Last Updated: | 01/28/2019 |
Provider Practice Location
1820 SHORE DR S
SOUTH PASADENA
FL
337074601
Practice Location Phone/Fax
| Phone: | 7278519805 |
| Fax: |
Provider Mailing Location
3145 OAKHILL DR
TROY
MI
480841265
Provider Mailing Phone/Fax
| Phone: | 2485152248 |
| Fax: |