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Individual

GREGORY RYAN PATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5 E WYNWOOD DR, WILLOW STREET, PA 17584-8961
(717) 464-7000
Mailing address
123 CARRIAGE HOUSE DR, WILLOW STREET, PA 17584-9026
(717) 875-9008

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
02/04/2022
Last updated
02/04/2022
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