Basic Information
| Provider Information | |||||||||
| NPI: | 1003125923 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHEELE | ||||||||
| FirstName: | RYANN | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MSOT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 141 FLORENDIN DR | ||||||||
| Address2: | |||||||||
| City: | HENRIETTA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 144679218 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5853222049 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3399 WINTON RD S | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146233057 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5853346000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2010 | ||||||||
| LastUpdateDate: | 12/19/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 016583-1 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.