Individual ProviderCaroline E RyanOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3801 Miranda Ave, Palo Alto, CA 94304-1207(650) 439-5000(650) 493-5000PECOS EnrollmentBased on the most recent information from CMS, provider Caroline E Ryan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1457370272Provider TypeIndividualFull NameRyan, Caroline ETitleMs.CredentialOTR/LGenderFemaleSole ProprietorYesEnumeration Date7/19/2006Last Updated7/12/2007Contact InformationPractice LocationPractice Address3801 Miranda Ave, Palo Alto, CA 94304-1207Phone(650) 439-5000FaxUnlisted FaxMailing LocationMailing Address3801 Miranda Ave, Palo Alto, CA 94304-1207Phone(650) 493-5000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense3655CaliforniaCode225XH1200XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense3655California