Dedria Bryan
Occupational Therapist · Waskom, TX
Practice location
476 Marcelene DrWaskom, TX 75692-6814
- Phone
- (903) 926-4342
NPI record
- NPI
- 1033390984
- Entity type
- Individual (Type 1)
- Enumeration date
- November 20, 2007
- Last updated
- August 15, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X |
104205 | TX |
| Occupational Therapist | 225X00000X |
105205 | TX |
About Dedria Bryan
Dedria Bryan is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 476 Marcelene Dr, Waskom, TX 75692-6814. The NPI number 1033390984 was assigned on November 20, 2007 and the record was last updated on August 15, 2019.
Dedria Bryan lists 2 licenses in the registry: #104205 (TX) for Occupational Therapist; #105205 (TX) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Dedria Bryan?
The NPI number is 1033390984.
What is the phone number of Dedria Bryan?
The phone number listed for the practice location is (903) 926-4342.
Where is Dedria Bryan located?
476 Marcelene Dr, Waskom, TX 75692-6814.
What is the taxonomy code for Dedria Bryan?
The primary taxonomy code is 225X00000X – Occupational Therapist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.