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1174309116
BLAKE RYAN
BETTENDORF, IA
NPI
1174309116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 113256)
Enumeration Date
2023-09-06
Last Update Date
2023-09-06
Business Address
BLAKE RYAN DPT
2300 53RD AVE STE LL02
BETTENDORF, IA 52722-7565
Phone number: 563-449-7000
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Mailing Address
BLAKE RYAN DPT
2300 53RD AVE STE 100
BETTENDORF, IA 52722-7565
Phone number: 563-322-0971
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