Individual
ANGELIA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N ROCKINGCHAIR RD, PARAGOULD, AR 72450-2414
(870) 897-2372
Mailing address
311 N ROCKINGCHAIR RD, PARAGOULD, AR 72450-2427
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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