Individual
RYAN SEYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25811 W 12 MILE RD STE 207, SOUTHFIELD, MI 48034-1896
(248) 752-4346
Mailing address
25811 W 12 MILE RD STE 207, SOUTHFIELD, MI 48034-1896
(248) 752-4346
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009011
MI
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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