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NPI Profile for RYAN DIVITA in EAST AMHERST, NY.
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist/Technologist |
225500000X | |||
Rehabilitation Practitioner |
225400000X |
| NPI Number | 1811626419 |
|
| Status | Active | |
| Credentials | TEACHER | |
| Entity | Individual | |
| Enumeration date | 06/08/2022 | |
| Last updated | 06/08/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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RYAN DIVITA
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RYAN DIVITA, TEACHER