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Individual

RYAN LAPAZ BACANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1701 N GREEN VALLEY PKWY STE B, HENDERSON, NV 89074-5885
(702) 998-3333
(702) 260-4051
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NY

Other

Enumeration date
10/21/2021
Last updated
11/11/2024
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