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Individual

JESSICA MARIE RYDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CTRS

Contact information

Practice address
800 SAINT CHARLES PL, WIXOM, MI 48393-1852
(313) 655-2246
Mailing address
800 SAINT CHARLES PL, WIXOM, MI 48393-1852
(313) 655-2246

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
64366
MI

Other

Enumeration date
04/03/2015
Last updated
04/03/2015
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