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Individual

BARBARA RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7733 FORSYTH BOULEVARD, CLAYTON, MO 63105
(636) 578-2420
Mailing address
6 CEDAR FORK CT, DEFIANCE, MO 63341-1319
(636) 578-2420

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110592
LICENSE#
MO
Enumeration date
11/07/2006
Last updated
06/29/2010
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