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Individual
MR. RYAN MICHAEL LOCKLEAR
Active
Individual
MR. RYAN MICHAEL LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5689
SC
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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