Individual
KILEY ANN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3207 220TH TRL, AMANA, IA 52203-8206
(319) 622-3131
Mailing address
8505 ALDRIDGE DR SW, CEDAR RAPIDS, IA 52404-4770
(319) 640-0478
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT4272
NM
Other
Enumeration date
02/20/2020
Last updated
04/15/2022
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