Individual
MR. RYAN ANTHONY WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, PTA
Contact information
Practice address
1619 SUMTER ST, COLUMBIA, SC 29201-2874
(803) 454-6090
Mailing address
1619 SUMTER ST, COLUMBIA, SC 29201-2874
(803) 454-6090
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4584
SC
Other
Enumeration date
03/23/2021
Last updated
04/05/2021
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