Heather L. Ryan MA, ATC, LAT

NPI 1316099856 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1316099856
Gender Female
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1 INDIAN AVE
VENICE FL, 34285-2632, US
Phone (941) 488-6726
Fax
Business Location
8258 LEOPOLD AVE
NORTH PORT FL, 34287-3745, US
Phone (941) 423-0952
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Florida
License Number AL 1429
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According to our database, Mrs. Heather L. Ryan MA, ATC, LAT NPI is 1316099856, taxonomy code is 2255A2300X and license number is AL 1429, license state is located at Florida. Heather L. Ryan MA, ATC, LAT physically located at 1 Indian Ave, Venice FL, 34285-2632. NPI Number Heather L. Ryan MA, ATC, LAT has the Individual type.

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1316099856 NPI number is provided on an as is basis without warranty of any kind. 1316099856 is maintained by the National Plan & Provider Enumeration System. The contents of Heather L. Ryan MA, ATC, LAT are for informational purposes only.