Individual
RYAN MUDDIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 LLANFAIR AVE, CINCINNATI, OH 45224-2972
(513) 681-4230
Mailing address
1099 THURNRIDGE DR, READING, OH 45215-3937
(513) 763-9587
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA005569
OH
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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