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Individual

RYAN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
4403 HOSPITAL ST, PASCAGOULA, MS 39581-5335
(228) 762-8960
Mailing address
4403 HOSPITAL ST, PASCAGOULA, MS 39581-5335
(228) 762-8960

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2523
AL

Other

Enumeration date
08/12/2016
Last updated
08/12/2016
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