Individual
RYAN BUSCAGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4407 MARATHON BLVD, AUSTIN, TX 78756-3428
(704) 500-4879
Mailing address
4407 MARATHON BLVD, AUSTIN, TX 78756-3428
(704) 500-4879
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
113617
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
113617
TX
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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