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Individual
RYAN P WHELTON
Active
Individual
RYAN P WHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12098575
CAQH
FL
01
—
CZ108A
PTAN
FL
Enumeration date
05/08/2007
Last updated
07/12/2018
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