Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY BRYANT, COTA
ActiveSTACEY BRYANT, COTA is a 224ZF0002X healthcare provider located in EDWARDSVILLE, Illinois. NPI 1083298806 is currently active in the NPPES registry. Verify at CMS.
224ZF0002X · EDWARDSVILLE, IL
Registration Details
- NPI Number
- 1083298806
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2021 (5.2350910621313 yrs)
- Last Updated
- May 7, 2021
- License
-
057-002567 (IL)
Practice Information
- Address
-
530 OAK HILL DREDWARDSVILLE, IL, 620252024Browse IL providers · Browse ZIP 62025
- Phone
- 6186703552
- Primary Specialty
-
224ZF0002X
224ZF0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.