| NPI | 1619103603 | 
|---|---|
| Former Name | JESSICA NICOLE RYLANT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AL 2984) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 2984) | 
| Enumeration Date | 2009-06-03 | 
| Last Update Date | 2025-08-27 |