Individual
JOSEPHINE MARY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1230 OCEAN DR STE 2, HOMER, AK 99603-7911
(907) 756-3715
(800) 221-8541
Mailing address
4159 W HILL RD, HOMER, AK 99603-8302
(907) 299-0332
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
120412
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120412
ALASKA STATE PHYSICAL AND OCCUPATIONAL THERAPY COTA LISENCE
AK
Enumeration date
07/10/2018
Last updated
07/10/2018
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