Individual
MR. RAYMOND TIMOTHY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
455 LEWIS AVE, MERIDEN, CT 06451-2121
(203) 935-0463
(203) 639-7997
Mailing address
455 LEWIS AVE, MERIDEN, CT 06451-2121
(203) 935-0463
(203) 639-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006372
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004214128
—
CT
Enumeration date
06/22/2006
Last updated
07/08/2007
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