Individual
EMILY CAROL RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N WOODBURN DR, DOTHAN, AL 36303-1995
(334) 794-1000
Mailing address
108 ROCHELLE CT, DOTHAN, AL 36305-8410
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1550309331
TRICARE
AL
Enumeration date
01/28/2020
Last updated
01/28/2020
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