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Individual
RYAN DAVID HALL
Active
Individual
RYAN DAVID HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
L2261236
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L2261236
LICENSE
MI
Enumeration date
08/01/2013
Last updated
12/11/2017
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