Individual
BREANNA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6521 180TH ST, TINLEY PARK, IL 60477-4140
(708) 362-4606
Mailing address
6521 180TH ST, TINLEY PARK, IL 60477-4140
(708) 362-4606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010960
IL
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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