Individual
DR. RYAN BRADLEY MOLENCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12 SYCAMORE AVE, VERMILLION, SD 57069-3327
(605) 670-2557
Mailing address
12 SYCAMORE AVE, VERMILLION, SD 57069-3327
(605) 670-2557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1476
SD
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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