MICHAEL RYAN BLANCO

CLOSTER, NJ
NPI1104553262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA02105400)
Enumeration Date2022-08-08
Last Update Date2022-08-08
Business Address
MICHAEL RYAN BLANCO DPT
31 VER VALEN ST
CLOSTER, NJ 07624-2699
Phone number: 201-784-2700
Mailing Address
MICHAEL RYAN BLANCO DPT
5 AUSTIN PL
HASBROUCK HEIGHTS, NJ 07604-1438
Phone number: 201-220-9049