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NPI Code Detail

MEDICARE: MR. DAVID A. RYALS PT

MEDICARE:  MR. DAVID A. RYALS  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 TherapistPT10240FL

General Provider Information

NPI Number : 1558318568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID A. RYALS PT
Provider Business Mailing Address
First Line : 5700 LAKE WORTH RD
Second Line : # 204
City : GREENACRES
State : FL
Zip : 33463-4727
Country : US
Telephone Number : 561-968-7968
Fax Number : 561-964-4603
Provider Business Practice Location Address
First Line : 5401 S CONGRESS AVE
Second Line : # 105
City : ATLANTIS
State : FL
Zip : 33462-6635
Country : US
Telephone Number : 561-969-3109
Fax Number : 561-642-8404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 07/08/2007

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Directions to “ MR. DAVID A. RYALS PT” Practice Location

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