Individual
JOSEPH RYAN RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
964 MAIN ST, LEICESTER, MA 01524-1310
(774) 354-0490
Mailing address
964 MAIN ST, LEICESTER, MA 01524-1310
(774) 354-0490
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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