Individual
DR. RYAN A DOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
575 S CLEVELAND MASSILLON RD, FAIRLAWN, OH 44333-3019
(330) 666-5866
Mailing address
575 S CLEVELAND MASSILLON RD, FAIRLAWN, OH 44333-3019
(330) 666-5866
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.008139
OH
Other
Enumeration date
11/17/2013
Last updated
11/17/2013
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