Individual
RYAN THOMAS PULVERMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1053
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(715) 258-1053
(715) 258-1153
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8209
WI
Other
Enumeration date
02/06/2023
Last updated
02/27/2023
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