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Individual
KEVIN PATRICK RYAN
Active
Individual
KEVIN PATRICK RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070017064
PT LICENSE
IL
Enumeration date
12/08/2010
Last updated
11/03/2022
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