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NPI Code Detail

MEDICARE: ANNE KAY RYSSE OTRL

MEDICARE:   ANNE KAY RYSSE  OTRL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5201006005MI

General Provider Information

NPI Number : 1033608138
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE KAY RYSSE OTRL
Provider Business Mailing Address
First Line : 4704 MACKINAW RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2104
Country : US
Telephone Number : 989-906-1200
Fax Number :
Provider Business Practice Location Address
First Line : 3254 E MIDLAND RD
Second Line :
City : BAY CITY
State : MI
Zip : 48706-2835
Country : US
Telephone Number : 989-686-3770
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2018
Last Update Date : 05/03/2018

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Directions to “ ANNE KAY RYSSE OTRL” Practice Location

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