Individual
MR. THOMAS RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
540 E. JEFFERSON STREET, STE. 302, IOWA CITY, IA 52245
(319) 339-3611
(319) 339-3878
Mailing address
1130 SCOTT BLVD., STE. 1, IOWA CITY, IA 52240
(319) 354-2429
(319) 354-6100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00689
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06-065463
—
IA
Enumeration date
02/26/2017
Last updated
03/15/2019
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