Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1023620952 |
---|---|
Provider Name | Dr. Marjorie Ann Ryan |
First Address | New Orleans, LA 70123-5111 |
Second Address | New Orleans, LA 70123-5111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2020 |
Last Update Date | 21/08/2020 |