Individual
SANDRA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16447 LAKE LOOP, AUSTIN, TX 78734-2629
(512) 745-1049
Mailing address
16447 LAKE LOOP, AUSTIN, TX 78734-2629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2098877
TX
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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