Most Relevant Information
Provider Data
| NPI Number: | 1003397480 |
| Provider Name: | MOLLY KATHLEEN RYAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 022844 |
Most Important Dates
| Enumeration Date: | 08/23/2018 |
| Last Updated: | 08/23/2018 |
Provider Practice Location
3767 DELAWARE AVE
KENMORE
NY
142171040
Practice Location Phone/Fax
| Phone: | 7168746175 |
| Fax: |
Provider Mailing Location
29 LINDA LN
NISKAYUNA
NY
123091963
Provider Mailing Phone/Fax
| Phone: | 5184785120 |
| Fax: |