Provider Demographics
NPI:1750402012
Name:RYLE, PAMELA S (MS, OTR, L)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:S
Last Name:RYLE
Suffix:
Gender:F
Credentials:MS, OTR, L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 HAYDEN AVE
Mailing Address - Street 2:LAHEY CLINIC
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-7929
Mailing Address - Country:US
Mailing Address - Phone:781-372-7100
Mailing Address - Fax:781-372-7111
Practice Address - Street 1:16 HAYDEN AVE
Practice Address - Street 2:LAHEY CLINIC
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7929
Practice Address - Country:US
Practice Address - Phone:781-372-7100
Practice Address - Fax:781-372-7111
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8710225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand