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Individual

RYAN AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1705 STEVENS AVE, LOUISVILLE, KY 40205-1044
(502) 451-7330
Mailing address
4609 PULASKI CT, LOUISVILLE, KY 40245-1840

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
A5786
KY

Other

Enumeration date
01/27/2016
Last updated
01/27/2016
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