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Individual

RYAN KENNETH IRWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, OTRL

Contact information

Practice address
6081 ACADEMY DR, SAGINAW, MI 48604-9502
(989) 274-8165
Mailing address
6081 ACADEMY DR, SAGINAW, MI 48604-9502
(989) 274-8165

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008153
MI

Other

Enumeration date
02/16/2012
Last updated
02/16/2012
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