Individual
LINDSEY RENEE RYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9611 BROOKDALE DR, SUITE 100-122, CHARLOTTE, NC 28215-8719
(704) 807-5699
(704) 631-4574
Mailing address
1016 EUCLID AVE, CHARLOTTE, NC 28203-4520
(704) 807-5699
(704) 631-4574
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9559
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9559
NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY
NC
Enumeration date
04/30/2015
Last updated
04/30/2015
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