| NPI | 1194278648 |
|---|---|
| Professional Name | RYAN BERUBE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NJ 25MT00146400) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |