RYAN BACA

INDIANAPOLIS, IN
NPI1548744915
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31006279A)
Enumeration Date2018-09-20
Last Update Date2018-09-20
Business Address
RYAN BACA
2010 N CAPITOL AVE
INDIANAPOLIS, IN 46202-1222
Phone number: 317-924-5821
Mailing Address
RYAN BACA
1002 BURGESS HILL PASS
WESTFIELD, IN 46074-5882
Phone number: 630-531-4880
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