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NPI Code Detail

MEDICARE: ANDREW RYAN SJOLANDER PT

MEDICARE: ANDREW RYAN SJOLANDER PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5654OR
2225100000XPhysical TherapistP16967NC

General Provider Information

NPI Number : 1144477159
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW RYAN SJOLANDER PT
Provider Business Mailing Address
First Line : 1168 E CUTLAR XING
Second Line :
City : LELAND
State : NC
Zip : 28451-6484
Country : US
Telephone Number : 910-332-3800
Fax Number :
Provider Business Practice Location Address
First Line : 1168 E CUTLAR XING
Second Line :
City : LELAND
State : NC
Zip : 28451-6484
Country : US
Telephone Number : 910-332-3800
Fax Number : 910-251-0421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2008
Last Update Date : 09/24/2021

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