Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 972 | MA |
NPI | 1265738918 |
---|---|
Provider Name | Mr. Ronald E Geary JR. |
First Address | Fall River, MA 02720-1526 |
Second Address | Somerset, MA 02726-2642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2011 |
Last Update Date | 28/01/2011 |