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1922105253
RYAN DEWITT
SANTA CRUZ, CA
NPI
1922105253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 30137)
Enumeration Date
2006-09-20
Last Update Date
2011-03-07
Business Address
Mr. RYAN DEWITT P.T.
4125 PORTOLA DR
SANTA CRUZ, CA 95062-4525
Phone number: 831-475-2565
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Mailing Address
Mr. RYAN DEWITT P.T.
4125 PORTOLA DR
SANTA CRUZ, CA 95062-4525
Phone number: 831-475-2565
Copy
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