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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PETER ROBERT RYAN JR., COTA

Active

MR. PETER ROBERT RYAN JR., COTA is a Occupational Therapy Assistant healthcare provider located in WEST ROXBURY, Massachusetts. NPI 1568620920 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · WEST ROXBURY, MA

Registration Details

NPI Number
1568620920
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2008 (18.198123248446 yrs)
Last Updated
Jun 1, 2008
License
1534 (MA)

Practice Information

Address
47 CHILTON RD
WEST ROXBURY, MA, 021321717
Browse MA providers · Browse ZIP 02132
Phone
6173275338
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.