Individual
LISA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4988 N UNIVERSITY DR, LAUDERHILL, FL 33351-5748
(954) 746-7230
Mailing address
12322 NW 54TH CT, CORAL SPRINGS, FL 33076-3410
(954) 218-7167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27466
FL
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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