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NPI Code Detail

MEDICARE: MR. RYAN BENJAMIN STERN MS, OTR/L

MEDICARE: MR. RYAN BENJAMIN STERN MS, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist10127MD

General Provider Information

NPI Number : 1053180174
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RYAN BENJAMIN STERN MS, OTR/L
Provider Business Mailing Address
First Line : 8720 MYLANDER LN APT 3410
Second Line :
City : TOWSON
State : MD
Zip : 21286-2114
Country : US
Telephone Number : 301-580-0552
Fax Number :
Provider Business Practice Location Address
First Line : 7 GWYNNS MILL CT STE I
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-3528
Country : US
Telephone Number : 410-849-9496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2023
Last Update Date : 12/29/2023

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