Individual
RYAN LOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15810 S 42ND ST, PHOENIX, AZ 85048-7409
(480) 759-0358
Mailing address
1514 E SLEEPY HOLLOW DR, OLATHE, KS 66062-2262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06170
KS
225100000X
Physical Therapist
297382
CA
225100000X
Physical Therapist
Primary
LPT-31871
AZ
Other
Enumeration date
09/12/2018
Last updated
06/01/2022
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