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Individual

RYAN J SIMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-8833
Mailing address
900 E BROADWAY AVE, PO BOX 5510, BISMARCK, ND 58506-5510
(701) 530-8833

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1328
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1328
LICENSE
ND
Enumeration date
03/13/2008
Last updated
03/13/2008
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