Individual
RYAN HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2103 REEDALE AVE, AUGUSTA, GA 30906-3430
(706) 814-6887
Mailing address
1010 CAROLINA AVE, RINCON, GA 31326-9141
(912) 677-0077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009585
GA
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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