Organization
MR RYAN OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIOUNA RICHARDS (CREDENTIALING MANAGER)
(678) 203-8826
Entity
Organization
Contact information
Practice address
1010 JENNIFER OAKS DR, ALPHARETTA, GA 30004-6722
(678) 234-2372
Mailing address
1010 JENNIFER OAKS DR, ALPHARETTA, GA 30004-6722
(678) 234-2372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
05/20/2024
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