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Individual
RYAN C SPENCER
Active
Individual
RYAN C SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028645
NY
2251X0800X
Orthopedic Physical Therapist
028645-1
NY
Other
Enumeration date
12/15/2008
Last updated
03/29/2012
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