Individual
MRS. KAYLA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
863 HATHAWAY RD, NEW BEDFORD, MA 02740-1916
(508) 996-6763
Mailing address
2052 PHILLIPS RD, NEW BEDFORD, MA 02745-2100
(508) 264-6317
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3719
MA
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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