Individual
RYAN KROEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
760 MONTAUK HWY, WATER MILL, NY 11976-2600
(631) 812-5566
Mailing address
760 MONTAUK HWY, WATER MILL, NY 11976-2600
(631) 812-5566
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014689-01
NY
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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