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Individual
MR. RYAN BRADY LONG
Active
Individual
MR. RYAN BRADY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT, ATP
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1163748
TX
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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