JOHN BENJAMIN RYAN

WYCKOFF, NJ
NPI1710644604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NJ  46TA09218100)
Enumeration Date2021-11-26
Last Update Date2021-11-26
Business Address
Mr. JOHN BENJAMIN RYAN COTA/L
301 SICOMAC AVE
WYCKOFF, NJ 07481-2159
Phone number: 201-848-5200
Mailing Address
Mr. JOHN BENJAMIN RYAN COTA/L
5-4 VERNON CT
WALDWICK, NJ 07463-1641
Phone number: 201-888-8895