Individual
MR. RYAN T. CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4900 OKLAHOMA AVE STE 200, WOODWARD, OK 73801-3719
(580) 377-3670
(580) 701-2466
Mailing address
4900 OKLAHOMA AVE STE 200, WOODWARD, OK 73801-3719
(580) 377-3670
(580) 701-2466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3923
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200134960A
—
OK
Enumeration date
09/12/2007
Last updated
09/23/2024
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