Leigh Michelle Bryant, OT/R

Individual provider Active NPI Occupational Therapist · Mocksville, NC

NPI 1861644882 · NPPES record last updated Oct 22, 2008

Key facts

NPI
1861644882
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5186 (NC)
Practice address
120 Heather CT
Mocksville, NC 27028-2950
Phone
(336) 972-4967
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5186NCMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5186 NC Yes

Addresses

Primary practice location

120 Heather CT
Mocksville, NC 27028-2950

Mailing address

120 Heather CT
Mocksville, NC 27028-2950
Phone (336) 972-4967

Other providers in Mocksville, NC

All providers in Mocksville, NC · Occupational Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.