Individual
DAPHNE LEE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1760 E KEN PRATT BLVD STE 405, LONGMONT, CO 80504-5311
(720) 718-5400
(720) 718-5991
Mailing address
1760 E KEN PRATT BLVD STE 405, LONGMONT, CO 80504-5311
(720) 718-5400
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
PT00009824
WA
225100000X
Physical Therapist
Primary
PTL.0008409
CO
Other
Enumeration date
12/09/2016
Last updated
02/12/2024
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