Individual
KIMBERLY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12700 VISTA PINE CIR, FORT MYERS, FL 33913-7973
(239) 209-7927
Mailing address
12700 VISTA PINE CIR, FORT MYERS, FL 33913-7973
(239) 209-7927
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3614
FL
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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