Individual
RYAN JAMES MARIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 FAIRFIELD ST, ENGLEWOOD, NJ 07631-1505
(201) 408-4293
Mailing address
107 FAIRFIELD ST, ENGLEWOOD, NJ 07631-1505
(201) 408-4293
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00656500
NJ
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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