Individual
MRS. MAUDE MAE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
1317 BARBARA CT, CHESAPEAKE, VA 23322-2707
(757) 593-8823
Mailing address
1317 BARBARA CT, CHESAPEAKE, VA 23322-2707
(757) 593-8823
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001631
VA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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