Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN TAYLOR FAIRCLOTH
Active Sole ProprietorRYAN TAYLOR FAIRCLOTH is a Occupational Therapist healthcare provider located in PELHAM, Georgia. NPI 1780143354 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PELHAM, GA
Registration Details
- NPI Number
- 1780143354
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2019 (7.4603968047521 yrs)
- Last Updated
- Mar 13, 2019
- License
-
PTA004184 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3139 US HIGHWAY 19 NEPELHAM, GA, 317795391Browse GA providers · Browse ZIP 31779
- Phone
- 2293195145
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.