Individual
RYAN O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 FALMOUTH RD STE 34, CENTERVILLE, MA 02632-2939
(508) 775-0060
(508) 775-3667
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
(631) 396-0864
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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