Individual
MR. RYAN PATRICK WANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C
Contact information
Practice address
1 S STEWART AVE, RIDLEY PARK, PA 19078-1002
(610) 591-1832
Mailing address
PO BOX 16858, PHILADELPHIA, PA 19142-0858
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003251
PA
Other
Enumeration date
05/28/2005
Last updated
07/17/2015
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