Individual
MR. RYAN WILLIAM UPTGRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
5939 BRIGHTON MEADOWS DR, APT. C, FORT WAYNE, IN 46804-7664
(260) 418-9269
Mailing address
5939 BRIGHTON MEADOWS DR, APT. C, FORT WAYNE, IN 46804-7664
(260) 418-9269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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