Individual
MR. RYAN DOUGLAS ADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., A.T.C.
Contact information
Practice address
1500 N 10TH ST, FREDERICK, OK 73542-1421
(580) 335-6642
(580) 335-6607
Mailing address
800 NW 6TH ST, OKLAHOMA CITY, OK 73106-7241
(405) 609-3667
(580) 609-3697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3077
OK
2255A2300X
Athletic Trainer
431
OK
Other
Enumeration date
06/13/2007
Last updated
02/08/2023
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