Individual
MARY CATHERINE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 712-1886
Mailing address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 712-1886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2222
NM
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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