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1962875005
RYAN SCOTT LIEBIG
ST PETERSBURG, FL
NPI
1962875005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT27878)
Enumeration Date
2015-11-12
Last Update Date
2015-11-12
Business Address
Mr. RYAN SCOTT LIEBIG PT, DPT
150 73RD AVE N APT 119
ST PETERSBURG, FL 33702-5954
Phone number: 219-561-6151
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Mailing Address
Mr. RYAN SCOTT LIEBIG PT, DPT
150 73RD AVE N APT 119
ST PETERSBURG, FL 33702-5954
Phone number: 219-561-6151
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