MRS. Latrice Bryant

NPI #1952889552 in Dolton, Illinois

Provider Information

NPI Number: 1952889552
Entity Type: Individual
Name: MRS. Latrice Bryant
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Aug 6, 2018
Last Updated: Aug 6, 2018

Practice Location

Address: 15511 DREXEL AVE
City: Dolton
State: Illinois
ZIP Code: 60419-2749
Phone: (773) 339-0647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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