Individual
RYAN ROBINETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(386) 756-4395
Mailing address
58196 NIGHTHAWK RD, SENECAVILLE, OH 43780-9556
(740) 680-1710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2078199
TX
225200000X
Physical Therapy Assistant
Primary
PTA.07633
OH
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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