Individual
KAELI ANN RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LAT, ATC
Contact information
Practice address
9020 SENCA DR, WILMINGTON, NC 28411-6679
(910) 264-9317
Mailing address
9020 SENCA DR, WILMINGTON, NC 28411-6679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P23204
NC
2255A2300X
Athletic Trainer
LAT-5362
NC
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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