National Provider Identifier
Ryan Divita, TEACHER
Ryan Divita, TEACHER is listed in the NPPES registry with a primary specialty of Respiratory/Developmental/Rehabilitative Specialist/Technologist in East Amherst, NY and a listed phone number of (716) 472-1289.
Profile Overview
- NPI
- 1811626419
- Provider Type
- Individual
- Primary Specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Enumeration Date
- June 08, 2022
- Last Updated
- June 08, 2022
Practice Location
- 26 San Fernando Ln
- East Amherst, NY 14051-2234
Phone: (716) 472-1289
Mailing Address
- 153 Bramble Ct
- Williamsville, NY 14221-1715
Specialties
- Respiratory/Developmental/Rehabilitative Specialist/Technologist (225500000X)
- Rehabilitation Practitioner (225400000X)
Endpoints
- www.creativetherapiesofwny.com
Connect Url | East Amherst, NY 14051
Full Record
- NPI
- 1811626419
- Entity Type
- Individual
- Last Name
- Divita
- First Name
- Ryan
- Credential
- TEACHER
- Mailing Street Address
- 153 Bramble Ct
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-1715
- Mailing Country
- US
- Practice Street Address
- 26 San Fernando Ln
- Practice City
- East Amherst
- Practice State
- NY
- Practice ZIP Code
- 14051-2234
- Practice Country
- US
- Practice Phone
- (716) 472-1289
- Practice Fax
- (716) 689-2916
- Enumeration Date
- June 08, 2022
- Last Updated
- June 08, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 08, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Respiratory/Developmental/Rehabilitative Specialist/Technologist (225500000X), Rehabilitation Practitioner (225400000X)