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Individual
RYAN EDMUND BOGRETTE
Active
Individual
RYAN EDMUND BOGRETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26241
MA
225100000X
Physical Therapist
—
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
CT
Other
Enumeration date
06/20/2022
Last updated
03/01/2024
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