Individual
MYRA D. RIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.001767
IL
225X00000X
Occupational Therapist
31001591A
IN
225X00000X
Occupational Therapist
3563-026
WI
225X00000X
Occupational Therapist
OT.003218
OH
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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