MICHAEL RYAN

JACKSONVILLE BEACH, FL
NPI1003367202
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT15572)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL439)
Enumeration Date2016-10-23
Last Update Date2016-10-23
Business Address
-- MICHAEL RYAN PT, ATC
1312 3RD ST N
JACKSONVILLE BEACH, FL 32250-7348
Phone number: 904-465-5277
Mailing Address
-- MICHAEL RYAN PT, ATC
184 SUMMERFIELD DR
PONTE VEDRA BEACH, FL 32082-2639
Phone number: