Individual
RYAN DANIEL AHLENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6360 DOVE DR, LOGANVILLE, GA 30052-3031
(404) 683-9523
Mailing address
6360 DOVE DR, LOGANVILLE, GA 30052-3031
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT013779
GA
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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