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Individual

RYAN MARC FLANARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2234 W HOUSTON ST STE B, BROKEN ARROW, OK 74012-3519
(918) 259-1888
(918) 251-3725
Mailing address
1742 S 4TH ST, CHICKASHA, OK 73018-5901
(405) 825-3617
(405) 825-3618

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3136
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200029340A
OK
Enumeration date
08/17/2005
Last updated
11/09/2015
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