Individual
MRS. SUSAN M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1216 2ND ST SW, GENEROSE BLDG. 3 410, ROCHESTER, MN 55902-1906
(507) 255-5548
Mailing address
2064 TIMBERIDGE LN SE, ROCHESTER, MN 55904-8601
(507) 281-8945
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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