Individual
MR. RYAN ERIC NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPED
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPED.0069
OH
224L00000X
Pedorthist
Primary
LPED.0069
OH
Other
Enumeration date
12/08/2006
Last updated
01/02/2014
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