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NPI Code Detail

MEDICARE: MRS. MEGAN MARIE RYAN OTR/L

MEDICARE: MRS. MEGAN MARIE RYAN OTR/L
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 TherapistOC008465PA

General Provider Information

NPI Number : 1366694150
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN MARIE RYAN OTR/L
Provider Business Mailing Address
First Line : 820 TURNER AVE
Second Line :
City : DREXEL HILL
State : PA
Zip : 19026-1726
Country : US
Telephone Number : 610-449-3598
Fax Number :
Provider Business Practice Location Address
First Line : 600 S WYCOMBE AVE
Second Line :
City : YEADON
State : PA
Zip : 19050-2835
Country : US
Telephone Number : 610-626-8065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2008
Last Update Date : 10/13/2008

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