NPI | 1255544078 |
---|---|
Former Name | PATRICIA RYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2007-05-08 |
Last Update Date | 2025-09-11 |