Individual
RYAN LEE CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
Mailing address
23 S MARVIN ST, SMETHPORT, PA 16749-1075
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003746
PA
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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