Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT36990 | FL |
Y | 2251P0200X | Physical Therapist - Pediatrics | PT36990 | FL |
N | 2251X0800X | Physical Therapist - Orthopedic | PT36990 | FL |
NPI | 1053924639 |
---|---|
Provider Name | Hannah Parris Ryan |
First Address | Destin, FL 32541-4753 |
Second Address | Chapel Hill, NC 27514-5863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2020 |
Last Update Date | 07/10/2021 |