Individual
RYAN R HARKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
31 N MAPLE AVE APT 54, MARLTON, NJ 08053-1716
(856) 261-0639
Mailing address
31 N MAPLE AVE APT 54, MARLTON, NJ 08053-1716
(856) 261-0639
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00306000
NJ
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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