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Individual

LYNN RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
385 TREMONT AVE, PM&RS 117, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
385 TREMONT AVE, PM&RS 117, EAST ORANGE, NJ 07018-1023
(973) 676-1000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
008099
NY
225X00000X
Occupational Therapist
Primary
46TR00124000
NJ
225X00000X
Occupational Therapist
5840
MA

Other

Enumeration date
07/31/2006
Last updated
07/11/2007
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