Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ryan Hortum, OTR/L

Individual provider Occupational Therapist · NPI 1124663539

Mr. Ryan Hortum, OTR/L is an Occupational Therapist in Lodi, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone: (209) 333-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 16285 (CA)

Record details

NPI number1124663539
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 8, 2019
Last updated in NPPESNovember 8, 2019

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