Individual
JILL WITTKE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2320 DAHLGREEN RD, RALEIGH, NC 27615
(919) 847-2674
Mailing address
2320 DAHLGREEN RD, RALEIGH, NC 27615
(919) 847-2674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4829
NC
Other
Enumeration date
10/02/2006
Last updated
10/07/2009
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