Individual
MR. RYAN ALLAN KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
25 RIDGEWOOD ROAD, BEDFORD, NH 03110
(603) 623-8805
Mailing address
508 PREBLE AVE, MADISON, ME 04950
(207) 399-2822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0644
NH
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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