Individual
MR. JOHN BENJAMIN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-5200
Mailing address
5-4 VERNON CT, WALDWICK, NJ 07463-1641
(201) 888-8895
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09218100
NJ
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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