Individual
MR. RYAN MATTHEW GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
24 TRUCKHOUSE RD, SEVERNA PARK, MD 21146-2715
(410) 544-4220
Mailing address
24 TRUCKHOUSE RD, SEVERNA PARK, MD 21146-2715
(410) 544-4220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3656
MD
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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