Individual
KATELYN PATRICIA RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 GENERAL MOORE WAY, ELLSWORTH, ME 04605-1860
(207) 667-9336
Mailing address
41 FERN ST APT 3, BANGOR, ME 04401-5561
(630) 696-1607
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5738
ME
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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