Individual
MIKAELA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 CAMPUS AVE, LEWISTON, ME 04240-6019
(207) 777-4320
Mailing address
240 SHAKER RD, GRAY, ME 04039-9801
(207) 838-1716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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