Individual
RYAN P MAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
28 4TH ST, FAIR HAVEN, VT 05743-1053
(802) 265-4055
(802) 265-8838
Mailing address
28 4TH ST, FAIR HAVEN, VT 05743-1053
(802) 265-4055
(802) 265-8838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
017392-1
NY
225100000X
Physical Therapist
Primary
040-0003124
VT
Other
Enumeration date
07/01/2005
Last updated
10/30/2015
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