Individual
RYAN TACL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 767-7222
Mailing address
6150 SAINT CROIX AVE N APT 218, MINNEAPOLIS, MN 55422-4460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107397
MN
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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