Individual
MR. RYAN MICHAEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPTA
Contact information
Practice address
410 PARK ST, WOODBINE, IA 51579-1219
(712) 647-2864
Mailing address
410 PARK ST, WOODBINE, IA 51579-1219
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1865
KS
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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