Individual
ALLIE RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5448 BROADWAY APT A, OAKLAND, CA 94618-1706
(208) 919-9448
Mailing address
5448 BROADWAY APT A, OAKLAND, CA 94618-1706
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
24181
CA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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