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Individual

MICHAEL RYAN DICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3791 DOLAN WAY, CARMEL, IN 46074-8358
(317) 268-8525
(317) 268-8526
Mailing address
3791 DOLAN WAY, CARMEL, IN 46074-8358
(317) 268-8525
(317) 268-8526

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4225
CT

Other

Enumeration date
04/22/2015
Last updated
04/22/2015
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