Individual
JACLYN MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
155 RADIO DRIVE, WOODBURY, MN 55125
(952) 831-8742
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10795
MN
Other
Enumeration date
08/23/2017
Last updated
03/18/2021
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