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Individual

EMILY ANN RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
125 SOUTHERN JUNCTION BLVD BLDG 800, POOLER, GA 31322-2214
(912) 348-2360
Mailing address
678 RALPH RAHN RD, RINCON, GA 31326-3105
(912) 547-6246

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2945
SC
225200000X
Physical Therapy Assistant
Primary
PTA003027
GA

Other

Enumeration date
05/13/2019
Last updated
05/13/2019
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