Individual
MR. RYAN CARL TRONBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
165 NATCHEZ TRACE AVE, SUITE 200, BOWLING GREEN, KY 42103-7940
(270) 796-4698
Mailing address
1536 TRILLIUM LN, BOWLING GREEN, KY 42104-5514
(515) 368-2958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01548
IA
Other
Enumeration date
12/01/2006
Last updated
11/03/2009
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