Individual
RYAN JARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
339 9TH AVE, LA GRANGE, IL 60525-6429
(708) 354-4660
Mailing address
8623 W FOSTER AVE APT 3D, CHICAGO, IL 60656-2726
(773) 865-4141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008947
IL
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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