Individual
RYAN ANTHONY HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6084 S ARCHER AVE, CHICAGO, IL 60638-2747
(224) 273-6058
(224) 273-6096
Mailing address
5922 S ARCHER AVE, CHICAGO, IL 60638-2803
(708) 307-0361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009050
IL
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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