Individual
RYAN DWYER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-1763
(330) 348-1350
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-1763
(330) 348-1350
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 06062
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00398941
RR MEDICARE
OH
Enumeration date
03/13/2007
Last updated
03/27/2020
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