Healthcare Provider Details

I. General information

NPI: 1225252000
Provider Name (Legal Business Name): MARY ALICE RYMAN OTRL CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GLEN AVE STE 203
SALISBURY MD
21804-5263
US

IV. Provider business mailing address

PO BOX 69709
BALTIMORE MD
21264-9709
US

V. Phone/Fax

Practice location:
  • Phone: 410-341-9535
  • Fax: 410-341-9536
Mailing address:
  • Phone: 410-341-9535
  • Fax: 410-341-9536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number04429
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: