Individual
RYAN HARLACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 TANGLEWOOD LN, MISHAWAKA, IN 46545-2627
(574) 285-0120
Mailing address
627 GERNHART AVE, MISHAWAKA, IN 46544-2431
(574) 596-4502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001916A
IN
224Z00000X
Occupational Therapy Assistant
OTA15487
FL
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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