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Individual

RYAN LORRAINE MCGOLDRICK-CARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3633 W WATERS AVE, TAMPA, FL 33614-2783
(813) 932-5119
Mailing address
3633 W WATERS AVE, TAMPA, FL 33614-2783
(813) 932-5119

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
393470
FL

Other

Enumeration date
11/03/2017
Last updated
11/03/2017
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