Provider Demographics
NPI:1144759499
Name:RYAN, ANDREW FRANCIS (DPT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:FRANCIS
Last Name:RYAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8094 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2258
Mailing Address - Country:US
Mailing Address - Phone:330-856-2476
Mailing Address - Fax:234-600-5661
Practice Address - Street 1:8094 E MARKET ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2258
Practice Address - Country:US
Practice Address - Phone:330-856-2476
Practice Address - Fax:234-600-5661
Is Sole Proprietor?:No
Enumeration Date:2017-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016934225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist