Individual
RYAN CHRISTOPHER MADDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
200 PATEWOOD DR STE C150, GREENVILLE, SC 29615-6323
(864) 454-0904
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8700
SC
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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