Individual
TIMOTHY DENNIS RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3830 N GRIMES ST, SUITE B, HOBBS, NM 88240-1279
(575) 392-3971
(575) 392-4169
Mailing address
3830 N GRIMES ST, SUITE B, HOBBS, NM 88240-1279
(575) 392-3971
(575) 392-4169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
561
NM
Other
Enumeration date
10/03/2005
Last updated
01/26/2012
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