Individual
MARY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EI
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129864900
—
FL
Enumeration date
12/16/2025
Last updated
03/25/2026
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