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General NPI Number Information
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NPI Number | 1699792374
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Entity Type | Organization
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Legal Business Name | RYAN RANCH PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 550 CAMINO EL ESTERO STE 100
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City | MONTEREY
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State | CA
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Zip | 93940-3231
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Country | US
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Telephone | 831-372-2963
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Fax | 831-656-9179
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Provider Business Mailing Address
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Address Line | 550 CAMINO EL ESTERO STE 100
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City | MONTEREY
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State | CA
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Zip | 93940-3231
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Country | US
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Telephone | 831-372-2963
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Fax | 831-656-9179
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Authorized Official
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Title or Position | PHYSICAL THERAPIST,OWNER OF BUSINES
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Name | MR. WILFRIED JOHN KRAMER JR.
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Credential | PT
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Telephone | 831-372-2963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 101360
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License Number State | CA
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