Individual
RYAN ALAN HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2775 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7307
(610) 816-8080
Mailing address
609 GOLDEN EAGLE DR, SAYLORSBURG, PA 18353-7995
(716) 998-0187
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001215-1
NY
Other
Enumeration date
10/06/2006
Last updated
12/17/2019
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