Tara Bryk, OT
Occupational Therapist in Wilkes Barre, PA. Individual provider (NPI-1).
NPI number1194942169
StatusActive
Last updated in NPPESSep 29, 2012
Details
- NPI
- 1194942169
- Entity type
- Individual (NPI-1)
- Name
- Tara Bryk
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2007
- Last updated
- Sep 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OC009832 | PA | Yes |
Practice location
200 S Meade StWilkes Barre, PA 18702-6221
Phone 570-262-5229
Mailing address
600 Luzerne AveApt. 1
West Pittston, PA 18643-1600
Phone 570-262-5229
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