Individual
RYAN JAMES MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
105 PUCILLO DRIVE, MILLERSVILLE, PA 17551
(609) 775-7152
Mailing address
240 STONE MILL RD APT E101, LANCASTER, PA 17603-4624
(609) 775-7152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00219800
NJ
2255A2300X
Athletic Trainer
Primary
RT005972
PA
Other
Enumeration date
02/03/2016
Last updated
04/06/2020
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