Individual
RYAN JOSEPH PANGANIBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6002
(630) 909-7150
Mailing address
715 N MAPLE ST, ITASCA, IL 60143-1435
(630) 788-5184
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009263
IL
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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