Individual
KEITH DOUGLAS RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
801 KINGS HWY N, FOX REHABILITATION SERVICES, CHERRY HILL, NJ 08034-1513
(877) 407-3422
(877) 407-4329
Mailing address
121 KALOS ST, PHILADELPHIA, PA 19128-3829
(877) 407-3422
(877) 407-4329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC005881L
PA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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