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Individual

MR. RYAN A EDGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
61 MAPLE AVE STE 2, COLLINSVILLE, CT 06019-3058
(860) 352-2463
(860) 352-8247
Mailing address
302 W MAIN ST STE 204, AVON, CT 06001-4306
(860) 679-0430
(860) 679-0431

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11929
CT

Other

Enumeration date
09/17/2018
Last updated
11/20/2022
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