Individual
MR. ERYAN RYDELL SINGALAWA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3663
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3663
BOARD OF OT LICENSE NUMBER
TN
Enumeration date
08/01/2022
Last updated
08/01/2022
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