Individual
MR. PETER ROBERT RYAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
47 CHILTON RD, WEST ROXBURY, MA 02132-1717
(617) 327-5338
Mailing address
47 CHILTON RD, WEST ROXBURY, MA 02132-1717
(617) 327-5338
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1534
MA
Other
Enumeration date
06/01/2008
Last updated
06/01/2008
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