Individual
HOLDEN PERRY RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATS
Contact information
Practice address
51 PALMISANO PLZ, BARRE, VT 05641-5218
(802) 249-0005
Mailing address
51 PALMISANO PLZ, BARRE, VT 05641-5218
(802) 249-0005
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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