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Individual

RYAN HIROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
Mailing address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
23646
MA
225100000X
Physical Therapist
Primary
43469
CA

Other

Enumeration date
10/17/2018
Last updated
10/17/2018
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