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Individual

PATRICK JOHN RYDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DR.

Contact information

Practice address
3636 S. INDEPENDENCE ST., LAKEWOOD, CO 80235
(303) 985-1133
(720) 962-0678
Mailing address
P.O. BOX 620578, LITTLETON, CO 80162
(303) 985-1133
(720) 962-0678

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00824284

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31401848
CO
Enumeration date
09/24/2008
Last updated
09/24/2008
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