Individual
MR. RYAN ANDREW RYBICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
111 LAKESIDE DR NE, GRAND RAPIDS, MI 49503-3811
(616) 588-1645
Mailing address
1625 JUDD AVE SW, WYOMING, MI 49509-1388
(616) 724-0876
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004543
MI
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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