Individual
KIMBERLY J RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1640 REDSTONE CENTER DR, SUITE 200, PARK CITY, UT 84098-7605
(435) 645-0737
Mailing address
4900 N MARINE DR APT 203, CHICAGO, IL 60640-3955
(773) 306-3993
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26465
CA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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