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Individual
RYAN JOHNSON
Active
Individual
RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14521-24
WI
225100000X
Physical Therapist
Primary
PT03354
RI
Other
Enumeration date
03/14/2019
Last updated
02/10/2021
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