Individual
MR. RYAN PAUL CARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1225 SIERRA LARGA DR NE, ALBUQUERQUE, NM 87112-6568
(505) 400-5380
Mailing address
1225 SIERRA LARGA NE, ALBUQUERQUE, NM 87112
(505) 400-5380
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
3356
NM
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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