Individual
MS. BRIDGET MARY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
16 WINFIELD ST APT 1, BOSTON, MA 02127-3490
(401) 527-1232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14690
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14690
OCCUPATIONAL THERAPY LICENSE
MA
Enumeration date
11/30/2022
Last updated
11/30/2022
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