Individual
RYAN MATHEW CARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS, OTR/L
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-3540
(706) 721-8623
(706) 655-5661
Mailing address
6085 WHITE PINE DR, MIDLAND, GA 31820-6302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004763
GA
Other
Enumeration date
07/18/2008
Last updated
03/21/2024
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