Individual
JEAN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
150 YORK ST, STOUGHTON, MA 02072-1829
(781) 344-0600
Mailing address
404 SAINT JOHNS CIR, PHOENIXVILLE, PA 19460-2555
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002672L
PA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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