Individual
RYAN VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 19TH ST NW STE 403, WASHINGTON, DC 20036-3716
(202) 721-7680
Mailing address
1145 19TH ST NW STE 403, WASHINGTON, DC 20036-3716
(202) 721-7680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT210002498
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2024
Last updated
11/08/2024
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