| NPI | 1124110838 | 
|---|---|
| Former Name | KRISTIN A RYAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1205223)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070011912)  | 
| Enumeration Date | 2006-09-29 | 
| Last Update Date | 2024-07-25 |