Individual
RYAN CIRO PERRETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
(631) 672-1507
Mailing address
803 OAK ST, GREEN COVE SPRINGS, FL 32043-4317
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 13416
FL
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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