RYAN DECKINGA

BRADENTON, FL
NPI1457773053
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  pta21067)
Enumeration Date2014-01-16
Last Update Date2014-01-16
Business Address
-- RYAN DECKINGA
6406 21ST AVE W
BRADENTON, FL 34209-7850
Phone number: 941-798-8712
Mailing Address
-- RYAN DECKINGA
6406 21ST AVE W
BRADENTON, FL 34209-7850
Phone number: 941-798-8712
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