Individual
BETH ANN KETCHMARK-RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
21302 HIGH COUNTRY DR, TRABUCO CANYON, CA 92679-3203
(303) 929-4707
Mailing address
21302 HIGH COUNTRY DR, TRABUCO CANYON, CA 92679-3203
(303) 929-4707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070014133
IL
225100000X
Physical Therapist
Primary
36765
CA
Other
Enumeration date
10/03/2006
Last updated
06/13/2024
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