Individual
JULIA JEAN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 MAPLE ST STE 203, MARLBOROUGH, MA 01752-3200
(508) 624-0304
(508) 624-0391
Mailing address
241 OLD SUDBURY RD, SUDBURY, MA 01776-1842
(978) 460-4310
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
S13164376
MA
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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