Individual
MR. RYAN ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2117
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117
LICENSE NUMBER
TN
Enumeration date
12/16/2016
Last updated
12/16/2016
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