Doctor Name: | MR. RYAN OVERFIELD |
NPI Number: | 1639316060 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OTR/L |
License Number: | OT536853 |
Business Practice Address: | 126 C E Penney Dr Wallkill, NY - 125894524 |
Business Phone Number: | 8455275667 |
Business Fax Number: | |
Mailing Address: | 126 C E Penney Dr, WALLKILL |
State: | NY |
Postal Code: | 125894524 |
Phone Number: | 8455275667 |
Fax Number: | |
NPI Enumeration Date: | 01/07/2009 |
NPI Last Update Date: | 01/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OT536853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |