NPI 1083852164

Mary Loraine Ryan

Practitioner Occupational Therapy Assistant Crystal Lake, IL

Practice location

Address: 411 E Congress Pkwy Suite B, Crystal Lake, IL 60014-6247
Phone: (815) 459-3810
Fax: (815) 356-3550

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.000176 (IL)

Other Occupational Therapy Assistant providers in Illinois →

Registry record

NPI: 1083852164
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2009
Record last updated: 28 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.