Individual
MRS. JENNIFER JANE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1101 W 9TH ST, DAVENPORT, IA 52804-3732
(563) 324-1621
Mailing address
5403 VICTORIA AVE, DAVENPORT, IA 52807-3925
(563) 327-0132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03259
IA
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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