Individual
ALLYN RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTRL
Contact information
Practice address
3132 OLD JACKSONVILLE RD, SUITE 140, SPRINGFIELD, IL 62704-7400
(217) 862-0400
Mailing address
2201 S KOKE MILL RD APT A, SPRINGFIELD, IL 62711-9682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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