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Individual

RYAN W. BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
Mailing address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3002
ME

Other

Enumeration date
09/14/2005
Last updated
01/15/2021
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