Individual
BRENNAN KELLEY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2008 GROVE AVE, RICHMOND, VA 23220-4534
(312) 550-5436
Mailing address
1515 GROVE AVE, RICHMOND, VA 23220-4603
(312) 550-5436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070015538
IL
225100000X
Physical Therapist
Primary
2305206096
VA
Other
Enumeration date
02/13/2007
Last updated
05/08/2020
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