Individual
ANGELA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 LOUISE AVE, CHARLOTTE, NC 28204-2128
(704) 644-4292
Mailing address
20109 NORMAN COLONY RD, CORNELIUS, NC 28031-7146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3631
NC
Other
Enumeration date
03/13/2007
Last updated
03/02/2009
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