Individual
JOHN DAVID RYLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 SHIP POND RD, PLYMOUTH, MA 02360-1849
(617) 686-7901
Mailing address
900 SHIP POND RD, PLYMOUTH, MA 02360-1849
(617) 686-7901
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
322D00000X
MA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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