Individual
MR. RYAN PATRICK GLACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3 W OLIVE ST STE 118, SCRANTON, PA 18508-2576
(570) 209-7604
Mailing address
3 W OLIVE ST STE 118, SCRANTON, PA 18508-2576
(570) 209-7604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012684
PA
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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