MEDICARE: RYANN LOUDON-BROWN PLLC

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1053062042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYANN LOUDON-BROWN PLLC

Provider Business Mailing Address
First Line	:	418 S DRYDEN PL
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 S DRYDEN PL
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2136
Country	:	US
Telephone Number	:	815-488-2404
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RYANN LOUDON-BROWN
Credential	:
Telephone Number	:	815-488-2404

Provider Enumeration Date	:	01/12/2022
Last Update Date	:	01/18/2022

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