Individual
RYAN BETTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
916 N DIXIE FWY, NEW SMYRNA BEACH, FL 32168-6220
(386) 426-7885
Mailing address
4958 S PENINSULA DR, PONCE INLET, FL 32127-7312
(386) 675-3107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27931
FL
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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