Individual
RYAN SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
235 NUTMEG ST, SAN DIEGO, CA 92103-6201
(619) 239-8687
Mailing address
6725 MISSION GORGE RD UNIT 203B, SAN DIEGO, CA 92120-2427
(619) 337-4213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48559
CA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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