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Individual
RYAN KENNETH TROMBLEY
Active
Individual
RYAN KENNETH TROMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
178410
PA
225100000X
Physical Therapist
Primary
PT027079
PA
2255A2300X
Athletic Trainer
RT005839
PA
Other
Enumeration date
08/04/2018
Last updated
08/04/2018
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