Individual
MARY KATHLEEN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
734 N JACKSON ST, MILWAUKEE, WI 53202-4602
(414) 277-6500
Mailing address
700N DELAWARE AVE APT J, GRAFTON, WI 53024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13863-24
WI
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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