Organization Name: | RYAN CENTER FOR HAND THERAPY, P.C. |
NPI Number: | 1588845333 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOALICE MARIE RYAN (OWNER) |
Mailing Address: | 400 S Kennedy Dr Suite 500 Bradley |
State: | IL US |
Postal Code: | 609152682 |
Phone Number: | 8159360400 |
Fax Number: | 8159360416 |
NPI Enumeration Date: | 11/21/2007 |
NPI Last Update Date: | 11/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | 056005395 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |