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Individual

RYAN PATRICK DONNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(847) 899-4540
Mailing address
605 W MAIN ST APT 312, DURHAM, NC 27701-2896
(847) 899-4540

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17057
NC

Other

Enumeration date
10/10/2024
Last updated
10/10/2024
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