Individual
LINA C RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117734
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1343
LICENSE NUMBER
WV
Enumeration date
08/21/2007
Last updated
01/15/2021
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