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NPI Code Detail

MEDICARE: DR. RYAN KOLB PT, DPT

MEDICARE: DR. RYAN KOLB PT, DPT
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 Therapist28461MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
128461OTHERMDMARYLAND BOARD OF PHYSICAL THERAPY

General Provider Information

NPI Number : 1174191373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN KOLB PT, DPT
Provider Business Mailing Address
First Line : 2 E JOPPA RD APT 1270
Second Line :
City : TOWSON
State : MD
Zip : 21286-3170
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5500 KNOLL NORTH DR STE 150
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2476
Country : US
Telephone Number : 443-542-0062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2021
Last Update Date : 06/14/2021

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Directions to “ DR. RYAN KOLB PT, DPT” Practice Location

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