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1710756770
RYAN SAM
COLORADO SPRINGS, CO
NPI
1710756770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CO PTL.0018294)
Enumeration Date
2024-01-01
Last Update Date
2024-01-01
Business Address
RYAN SAM PT, DPT
5230 MOUNTAIN VISTA HTS
COLORADO SPRINGS, CO 80924-5418
Phone number: 860-462-9632
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Mailing Address
RYAN SAM PT, DPT
5230 MOUNTAIN VISTA HTS
COLORADO SPRINGS, CO 80924-5418
Phone number: 860-462-9632
Copy
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