Otelia Bryant

NPI 1427589340 · on the registry since 2017 · sole proprietor

Practice

Address: 10543 S Crater Rd
South Prince George, VA 23805
Phone: (800) 805-6989
Organisation at this address: Crossroads Treatment Center Of Petersburg, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 35

Registry record

Primary taxonomy: 164W00000X
164W00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-03-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia