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Individual

RYAN ROBERT HOLZUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, ATC

Contact information

Practice address
1640 REDSTONE CENTER DR, PARK CITY, UT 84098-7605
(866) 474-6677
Mailing address
3 HOLLOW TREE CT, SAINT PETERS, MO 63376-4609
(636) 248-4387

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014027009
MO

Other

Enumeration date
08/14/2014
Last updated
08/15/2014
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