Individual
JENNIFER RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ONE POSA PLACE, DARTMOUTH, MA 02747-2511
(508) 996-3391
(508) 996-3397
Mailing address
12 WASHBURN ST, MIDDLEBORO, MA 02346-1523
(508) 946-9821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10764
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000032208
BMC
MA
Enumeration date
03/30/2007
Last updated
07/08/2007
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