| NPI | 1164955712 |
|---|---|
| Former Name | SALLY RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01891400) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070023303) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-12-28 |