Individual
RYAN FACTORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4402 222ND ST SW, MOUNTLAKE TERRACE, WA 98043-4152
(314) 369-7718
Mailing address
728 134TH ST SW STE 203, EVERETT, WA 98204-5322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60419776
WA
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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