Individual
RYAN EDWARD JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3512 HIGHWAY 365, NEDERLAND, TX 77627-7834
(409) 722-7116
Mailing address
3512 HIGHWAY 365, NEDERLAND, TX 77627-7834
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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