Individual
MR. BRUCE A RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1501 N NAVARRO, # C, VICTORIA, TX 77901-6027
(361) 572-9113
(361) 572-9195
Mailing address
1501 N NAVARRO, # C, VICTORIA, TX 77901-6027
(361) 572-9113
(361) 572-9195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1039311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0877045-01
—
TX
05
—
087704501
—
TX
Enumeration date
07/05/2006
Last updated
08/11/2011
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