Individual
CHANCE RYAN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2560 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 994-7864
(918) 994-7884
Mailing address
8205 PRESIDENTS DR, HUMMELSTOWN, PA 17036-8621
(717) 839-2188
(717) 565-1104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3112
OK
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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