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1275900870
RYAN GREEN
TAMPA, FL
NPI
1275900870
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA25310)
Enumeration Date
2015-08-31
Last Update Date
2015-08-31
Business Address
-- RYAN GREEN
2916 HABANA WAY
TAMPA, FL 33614-7108
Phone number: 813-877-7415
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Mailing Address
-- RYAN GREEN
2916 HABANA WAY
TAMPA, FL 33614-7108
Phone number: 813-877-7415
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