Individual
CARRIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2675 N LIPKEY RD, NORTH JACKSON, OH 44451-9649
(330) 538-9822
Mailing address
1665 ROOSEVELT AVE, NILES, OH 44446-4107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006150
OH
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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