Individual
RYAN O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
615 HEATH ST, CHESTNUT HILL, MA 02467-2160
(617) 243-9990
Mailing address
39 IAN KEATS DR, MANSFIELD, MA 02048-3252
(774) 266-6697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9723
MA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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