Individual
RYAN HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OT
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-3260
Mailing address
S77W19842 SANCTUARY DR, MUSKEGO, WI 53150-8776
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4189
WI
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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