Individual
RYAN BAKSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10560 SW VILLAGE PKWY, PORT SAINT LUCIE, FL 34987-2359
(772) 446-0203
Mailing address
1116 SW LAWNDALE AVE, PORT SAINT LUCIE, FL 34953-7714
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33562
FL
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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