Individual
RYAN MATTHEW PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
67 N MAIN ST # A, BOSCAWEN, NH 03303-1237
(603) 753-2942
Mailing address
461 FAIRWAY DR, PEMBROKE, NH 03275-3105
(603) 340-5386
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1443
NH
Other
Enumeration date
08/22/2022
Last updated
08/30/2022
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