Individual
KATHLEEN M RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
85 LICK FORK RD, EDGEFIELD, SC 29824-3358
(706) 631-7288
Mailing address
85 LICK FORK RD, EDGEFIELD, SC 29824-3358
(706) 631-7288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3200
SC
225100000X
Physical Therapist
CP035127T
GA
Other
Enumeration date
11/12/2014
Last updated
10/07/2024
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