Individual
RYAN O'KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DAT, LAT, ATC
Contact information
Practice address
418 S WARREN AVE, MALVERN, PA 19355-2707
(610) 812-8248
Mailing address
1224 W CHESTER PIKE APT A7, WEST CHESTER, PA 19382-5664
(610) 733-3346
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006269
PA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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