Provider Demographics
NPI:1598422032
Name:LAUGHRAN, RYAN ALBERT (PT, DPT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:ALBERT
Last Name:LAUGHRAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 EMRICK BLVD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8061
Mailing Address - Country:US
Mailing Address - Phone:484-273-4241
Mailing Address - Fax:
Practice Address - Street 1:3100 EMRICK BLVD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8061
Practice Address - Country:US
Practice Address - Phone:484-273-4241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist