Individual
RYAN MARK DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, OTC
Contact information
Practice address
46 BARRA RD STE 103, BIDDEFORD, ME 04005-9461
(207) 283-1126
(207) 294-3544
Mailing address
225 BEECH RIDGE RD, SCARBOROUGH, ME 04074-9105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT735
ME
246ZX2200X
Orthopedic Assistant
19-0208
ME
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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