Provider Demographics
NPI:1992013072
Name:BRYANT, RITA O (QMHA)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:O
Last Name:BRYANT
Suffix:
Gender:F
Credentials:QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7473 W LAKE MEAD BLVD
Mailing Address - Street 2:STE. 221
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0265
Mailing Address - Country:US
Mailing Address - Phone:702-290-9398
Mailing Address - Fax:702-562-1249
Practice Address - Street 1:7473 W LAKE MEAD BLVD
Practice Address - Street 2:STE. 221
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0265
Practice Address - Country:US
Practice Address - Phone:702-290-9398
Practice Address - Fax:702-562-1249
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner