Individual
LISA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 LINCOLN ST, NEEDHAM, MA 02492-2914
(401) 225-2767
Mailing address
28 DEL BONIS DR, RICHMOND, RI 02892-1175
(401) 225-2767
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
01534
RI
225X00000X
Occupational Therapist
Primary
10989
MA
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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