Individual
MR. RYAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
320 N CRAWFORD ST, WILLOWS, CA 95988-2326
(530) 934-2834
Mailing address
101 SOUTHHALL LN STE 100, MAITLAND, FL 32751-7239
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49165
CA
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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