Individual
JESSICA NICHOLE RYBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4615 EXPLORER DR APT 101, WEST MELBOURNE, FL 32904-9190
(303) 944-3636
Mailing address
4615 EXPLORER DR APT 101, WEST MELBOURNE, FL 32904-9190
(303) 944-3636
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
06/23/2022
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