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1386298164
RYAN ANTHONY TIRELLA
BRIDGEWATER, NJ
NPI
1386298164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00362700)
Enumeration Date
2019-07-30
Last Update Date
2019-07-30
Business Address
RYAN ANTHONY TIRELLA PTA
479 UNION AVE
BRIDGEWATER, NJ 08807-3143
Phone number: 908-203-5200
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Mailing Address
RYAN ANTHONY TIRELLA PTA
33 ASHLAND AVE APT 307
WEST ORANGE, NJ 07052-5566
Phone number: 908-285-4515
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