Ryan J Green, PT

NPI #1255479184 in Logan, Utah

Provider Information

NPI Number: 1255479184
Entity Type: Individual
Name: Ryan J Green, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2380 N 400 E
City: Logan
State: Utah
ZIP Code: 84341-1749
Phone: (435) 713-9710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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