Individual
RYAN MALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1912 OREGON DR, BISMARCK, ND 58503-5319
(701) 226-9535
Mailing address
1912 OREGON DR, BISMARCK, ND 58503-5319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1918
ND
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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