Most Relevant Information
Provider Data
NPI Number: | 1003040734 |
Provider Name: | CARMEN LYNN RYAN OTR/L |
Entity Type: | Individual |
Taxonomy Code: | 174400000X |
Specialty: | Specialist |
License Number: | R2880 |
Most Important Dates
Enumeration Date: | 05/09/2009 |
Last Updated: | 05/09/2009 |
Provider Practice Location
4504 DOTHAN DR
LEXINGTON
KY
405155506
Practice Location Phone/Fax
Phone: | 8599711240 |
Fax: | 8599711239 |
Provider Mailing Location
4504 DOTHAN DR
LEXINGTON
KY
405155506
Provider Mailing Phone/Fax
Phone: | 8599711240 |
Fax: | 8599711239 |