Individual provider · Type 1 NPI

Justin Charles Ryckman, OTD, OTR/L

Occupational Therapist · St. Louis, MO

NPI number 1992299333 Active

Practice location

10332 Old Olive Street Rd
St. Louis, MO 63141-5922

Fax (314) 567-4505

Other practice locations

  • 4200 N Cloverleaf Dr, St. Peters, MO 63376-6436 · (636) 922-4700

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2018006795 (MO)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1992299333

Justin Charles Ryckman, OTD, OTR/L's National Provider Identifier is 1992299333, issued on Jun 19, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 19, 2018.