Basic Information
Provider Information
NPI: 1114297082
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRYANT
FirstName: APRIL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.S. OTR/L
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 2222 E HIGHLAND AVE
Address2: SUITE 300
City: PHOENIX
State: AZ
PostalCode: 850164872
CountryCode: US
TelephoneNumber: 6025128558
FaxNumber: 8662425309
Practice Location
Address1: 2222 E HIGHLAND AVE
Address2: SUITE 300
City: PHOENIX
State: AZ
PostalCode: 850164872
CountryCode: US
TelephoneNumber: 6025128558
FaxNumber: 8662425309
Other Information
ProviderEnumerationDate: 01/09/2012
LastUpdateDate: 01/14/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X4804AZY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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