Ryan, Audrey

Ryan, Audrey is an individual health care provider with primary practice located at 22 Masonic Ave , Wallingford CT 06492-3048. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ryan, Audrey can be contacted via phone (203) 679-6273.

Contact Information

Primary practice address
22 Masonic Ave Wallingford CT 06492-3048
Fax:
Website:

Health care specialties

Profile Details

NPI number 1518348226
LBN Legal business name Ryan, Audrey
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2015
Last updated May 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518348226 NPPES
Connecticut Other 10225 CT PRACTICE LICENSE

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