Individual
DIANE CAROL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
55-77 SCHANCK RD, STE B-11, FREEHOLD, NJ 07728-2964
(917) 402-7237
(732) 414-2489
Mailing address
41 LONDON ST, FREEHOLD, NJ 07728-2723
(917) 402-7237
(732) 414-2489
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010846
NY
225100000X
Physical Therapist
40QA01639500
NJ
Other
Enumeration date
09/24/2006
Last updated
05/12/2017
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