Individual provider · NPI-1

Linda Gene Agard-Ryan, OT

Occupational Therapist · Orlando, FL

NPI number1710158712
StatusActive
Last updated in NPPESDec 29, 2014

Details

NPI
1710158712
Entity type
Individual (NPI-1)
Name
Linda Gene Agard-Ryan
Credential
OT
Sex
Female
Sole proprietor
No
Enumeration date
Mar 18, 2008
Last updated
Dec 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT5671FLYes

Other names

  • Linda Gene Agard (Former Name)

Practice location

12124 High Tech Ave
Suite 190
Orlando, FL 32817-8373

Phone 407-382-0682 · Fax 407-382-4930

Mailing address

12124 High Tech Ave
Suite 190
Orlando, FL 32817-8373

Phone 407-382-0682 · Fax 407-382-4930

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