Individual
RYAN NGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5255 EL CAMINO REAL STE C, ATASCADERO, CA 93422-3351
(805) 237-0272
Mailing address
5255 EL CAMINO REAL STE C, ATASCADERO, CA 93422-3351
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA49003
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
05/14/2018
Last updated
05/14/2018
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