Individual
JUSTIN CHARLES RYCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
10332 OLD OLIVE STREET RD, SAINT LOUIS, MO 63141-5922
(314) 567-4707
(314) 567-4505
Mailing address
10332 OLD OLIVE STREET RD, SAINT LOUIS, MO 63141-5922
(314) 567-4707
(314) 567-4505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018006795
MO
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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