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Individual

RYAN HENRY MCGLAWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
1220 N SHORE PKWY, SUITE B, BRANDON, MS 39047-6383
(601) 829-0505
(601) 829-0506
Mailing address
2416 HIGHWAY 45 N, COLUMBUS, MS 39705-1320
(662) 327-6705
(662) 327-6760

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4081
MT

Other

Enumeration date
03/29/2016
Last updated
03/29/2016
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