Individual
RYAN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
430 N KROCKS RD, ALLENTOWN, PA 18106-9267
(610) 841-1831
Mailing address
430 N KROCKS RD, ALLENTOWN, PA 18106-9267
(610) 841-1831
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003077
PA
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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