Individual
MRS. ELEANOR JEANNETTE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1130 LAKESHORE DR, MASSAPEQUA PARK, NY 11762-2054
(516) 798-0097
Mailing address
1130 LAKESHORE DR, MASSAPEQUA PARK, NY 11762-2054
(516) 798-0097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7297911
NY
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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