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Individual

RYAN PANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO

Contact information

Practice address
115 TECHNOLOGY DR, SUTIE CP102, TRUMBULL, CT 06611-6337
(203) 261-1162
Mailing address
115 TECHNOLOGY DR, SUTIE CP102, TRUMBULL, CT 06611-6337
(203) 261-1162

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
000833577I
CT

Other

Enumeration date
03/16/2017
Last updated
03/16/2017
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